superiorvision.com | 1 (800) 507-3800
Vision Care Plan for Clay County Schools You may choose from 2 plan: exam & materials plan or materials only plan Benefits through Superior National network
Frequency
Exam Frame Contact lens fitting Eyeglass lenses Contact Lenses
12 months (*Not applicable with materials only plan) 24 months 12 months 12 months 12 months
(based on date of service)
Need help? Contact 1 (800) 507-3800 or visit superiorvision.com for assistance. Exams Eye exam copay*:
$10
(*Not applicable with materials only plan)
Materials1 Materials copay:
Premiums
$15
Full plan Materials Only Plan
Contact lens fitting2 copay (standard and specialty):
$25
Specialty In-network allowance:
$50
Frames In-network allowance:
$100
Contacts4 in lieu of glasses
Monthly Employee only: $7.26 Employee + 1 dependent: $14.10 Employee + family: $20.70
$5.12 $9.92 $14.56
Tenthly Employee only: $8.71 Employee + 1 dependent: $16.92 Employee + family: $24.84
$6.14 $11.90 $17.47
In-network allowance:
$120
Lenses (per pair)
In-Network Coverage
Out-of-Network Reimbursement
Single vision
Covered-in-full
Up to $34
Bifocal
Covered-in-full
Up to $48
Trifocal
Covered-in-full
Up to $64
Progressives
Covered at trifocal level3
Up to $64
Shop with convenience while using your benefits through these in-network online retailers.
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