Metlife Vision - Federal Vision Plan (FEDVIP) 0 VCP 0 VSP Vision Care 61 EyeMed 80 Davis Vision 58 Superior Vision 85 Spectera / UnitedHealthcare 61 Aetna Vision 77 Cigna Vision 80 Humana Vision 88 Humana Vision PLUS 88 Humana Focus / Optimum / Advantage 68 Humana Medicare Advantage 88 Humana Medicare Supplement 88 Superior Vision – Medicare 2 Superior Vision – Medicaid 1 Superior Vision – ACA 0 Superior Select 47 Superior Select Midwest 41 Superior Select Southwest 38

Comprehensive eye exam 83 Glasses & frames 96 Contact lens fitting 99 LASIK consult 0 Pediatric eye care 8 Dry eye treatment 7 Sports & safety eyewear 61

84 Nike Vision 61 Marchon 61 Airlock 61 Anne Klein 61 AVIO 61 bebe 61 Calvin Klein 61 Canada Goose 61 Cole Haan 61 Columbia 61 Converse 61 Cutler and Gross 61 DKNY 61 Donna Karan 61 Dragon 61 Draper James 61 Ferragamo 61 Flexon 61 Genesis 61 JOE Joseph Abboud 61 Karl Lagerfeld 61 Kendra Scott 61 Lacoste 61

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