Metlife Vision - Federal Vision Plan (FEDVIP) 0 VCP 0 VSP Vision Care 64 EyeMed 76 Davis Vision 89 Superior Vision 96 Spectera / UnitedHealthcare 63 Aetna Vision 75 Cigna Vision 72 Humana Vision 85 Humana Vision PLUS 85 Humana Focus / Optimum / Advantage 73 Humana Medicare Advantage 85 Humana Medicare Supplement 85 Superior Vision – Medicare 21 Superior Vision – Medicaid 15 Superior Vision – ACA 0 Superior Select 69 Superior Select Midwest 42 Superior Select Southwest 37

Comprehensive eye exam 105 Glasses & frames 114 Contact lens fitting 121 LASIK consult 2 Pediatric eye care 34 Dry eye treatment 4 Sports & safety eyewear 90

91 Nike Vision 64 Marchon 64 Airlock 64 Anne Klein 64 AVIO 64 bebe 64 Calvin Klein 64 Canada Goose 64 Cole Haan 64 Columbia 64 Converse 64 Cutler and Gross 64 DKNY 64 Donna Karan 64 Dragon 64 Draper James 64 Ferragamo 64 Flexon 64 Genesis 64 JOE Joseph Abboud 64 Karl Lagerfeld 64 Kendra Scott 64 Lacoste 64

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