Cole Managed Vision Rates
|
In-Network |
Out of Network |
| Eye Exam |
|
|
| Eyeglass |
$0 Copay |
$40 |
| Contact Lens |
$0 Copay |
$40 |
| Frames |
(once every 2 years) |
|
| Up to $60 |
$0 Copay |
$45 |
| $61 to $80 |
$0 Copay |
$45 |
| $81 to $100 |
$0 Copay |
$45 |
| $101 to $120 retail |
$0 Copay |
$45 |
| Lenses |
|
|
| Single Vision |
$5 Copay |
$40 |
| Bifocal |
$5 Copay |
$60 |
| Trifocal |
$5 Copay |
$80 |
| Lenticular |
$5 Copay |
$80 |
| Options - (plus lens prices) |
|
|
| Standard Progressive |
$5 Copay |
$60 |
| Polycarbonate |
$30 |
Not Covered |
| Scratch Resistant Coating |
$12 |
Not Covered |
| Solid/Gradient Tint |
$8 |
Not Covered |
| UV Coating |
$12 |
Not Covered |
| Photochronic Glass |
$30 |
Not Covered |
| Glass |
$15 |
Not Covered |
| Anti-Reflective Coating |
$35 |
Not Covered |
| Contacts |
Retail, Less $105 |
|
|
Allowance, plus. |
|
| Non-Disposable |
$5 Copay |
$105 |
| Disposable |
$5 Copay |
$105 |
| Medically necessary |
$5 Copay |
$210 |
| Lasik Vision Correction Program |
|
Through the NuVision LASIK Network, you and your family members can receive discounts on the surgeion's lowest advertised price for LASIK surgery. The initial consultation is always free of charge, even if you choose not to proceed with the LASIK surgery. To schedule a free evaluation with a participating NuVision LASIK Network surgeion in your area, call 1.888.705.2020. |
| Monthly Cole Managed Premiums |
|
|
| Employee Only |
Employee (+) one |
Family coverage |
| $7.82 |
$15.64 |
$21.51 |