Metlife Vision - Federal Vision Plan (FEDVIP) 0 VCP 107 VSP Vision Care 145 iCare 144 EyeMed 127 Davis Vision 151 Superior Vision 175 Spectera / UnitedHealthcare 119 Aetna Vision 116 Cigna Vision 105 Humana Vision 146 Humana Vision PLUS 145 Humana Focus / Optimum / Advantage 110 Humana Medicare Advantage 145 Humana Medicare Supplement 145 Superior Vision – Medicare 0 Superior Vision – Medicaid 0 Superior Vision – ACA 0 Superior Select 0 Superior Select Midwest 0 Superior Select Southwest 0

Comprehensive eye exam 226 Glasses & frames 216 Contact lens fitting 236 LASIK consult 5 Pediatric eye care 50 Dry eye treatment 20 Sports & safety eyewear 2

185 Columbia 162 Nike Vision 161 Marchon 161 Airlock 161 Anne Klein 161 AVIO 161 bebe 161 Calvin Klein 161 Canada Goose 161 Cole Haan 161 Converse 161 Cutler and Gross 161 DKNY 161 Donna Karan 161 Dragon 161 Draper James 161 Ferragamo 161 Flexon 161 Genesis 161 JOE Joseph Abboud 161 Karl Lagerfeld 161 Kendra Scott 161 Lacoste 161

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