Metlife Vision - Federal Vision Plan (FEDVIP) 664 VCP 0 VSP Vision Care 1139 EyeMed 1551 Davis Vision 1825 Superior Vision 1463 Spectera / UnitedHealthcare 789 Aetna Vision 1539 Cigna Vision 1492 Humana Vision 1503 Humana Vision PLUS 1503 Humana Focus / Optimum / Advantage 1178 Humana Medicare Advantage 1503 Humana Medicare Supplement 1503 Superior Vision – Medicare 1765 Superior Vision – Medicaid 1732 Superior Vision – ACA 20 Superior Select 1254 Superior Select Midwest 495 Superior Select Southwest 477

Comprehensive eye exam 2866 Glasses & frames 2339 Contact lens fitting 2324 LASIK consult 90 Pediatric eye care 487 Dry eye treatment 65 Sports & safety eyewear 1835

2344 Nike Vision 1148 Calvin Klein 1148 Marchon 1147 Airlock 1147 Converse 1147 Ferragamo 1147 Flexon 1147 Longchamp 1147 ZEISS 1147 Anne Klein 1146 AVIO 1146 bebe 1146 Canada Goose 1146 Cole Haan 1146 Columbia 1146 Cutler and Gross 1146 DKNY 1146 Donna Karan 1146 Dragon 1146 Draper James 1146 Genesis 1146 JOE Joseph Abboud 1146 Karl Lagerfeld 1146

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