Metlife Vision - Federal Vision Plan (FEDVIP) 0 VCP 0 VSP Vision Care 55 EyeMed 55 Davis Vision 65 Superior Vision 61 Spectera / UnitedHealthcare 48 Aetna Vision 55 Cigna Vision 48 Humana Vision 64 Humana Vision PLUS 64 Humana Focus / Optimum / Advantage 52 Humana Medicare Advantage 64 Humana Medicare Supplement 64 Superior Vision – Medicare 8 Superior Vision – Medicaid 0 Superior Vision – ACA 3 Superior Select 41 Superior Select Midwest 27 Superior Select Southwest 26

Comprehensive eye exam 70 Glasses & frames 75 Contact lens fitting 82 LASIK consult 0 Pediatric eye care 16 Dry eye treatment 4 Sports & safety eyewear 65

62 Nike Vision 55 Marchon 55 Airlock 55 Anne Klein 55 AVIO 55 bebe 55 Calvin Klein 55 Canada Goose 55 Cole Haan 55 Columbia 55 Converse 55 Cutler and Gross 55 DKNY 55 Donna Karan 55 Dragon 55 Draper James 55 Ferragamo 55 Flexon 55 Genesis 55 JOE Joseph Abboud 55 Karl Lagerfeld 55 Kendra Scott 55 Lacoste 55

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