Metlife Vision - Federal Vision Plan (FEDVIP) 0 VCP 0 VSP Vision Care 76 EyeMed 82 Davis Vision 80 Superior Vision 88 Spectera / UnitedHealthcare 65 Aetna Vision 81 Cigna Vision 80 Humana Vision 86 Humana Vision PLUS 86 Humana Focus / Optimum / Advantage 76 Humana Medicare Advantage 86 Humana Medicare Supplement 86 Superior Vision – Medicare 58 Superior Vision – Medicaid 12 Superior Vision – ACA 4 Superior Select 80 Superior Select Midwest 44 Superior Select Southwest 31

Comprehensive eye exam 110 Glasses & frames 123 Contact lens fitting 128 LASIK consult 0 Pediatric eye care 25 Dry eye treatment 1 Sports & safety eyewear 84

83 DKNY 80 Nine West 80 Nike Vision 77 Marchon 77 Anne Klein 77 Columbia 77 Converse 77 Dragon 77 Lacoste 77 Longchamp 77 Nautica 77 Pure 77 Spyder 77 Airlock 76 AVIO 76 bebe 76 Calvin Klein 76 Canada Goose 76 Cole Haan 76 Cutler and Gross 76 Donna Karan 76 Draper James 76 Ferragamo 76

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