Metlife Vision - Federal Vision Plan (FEDVIP) 0 VCP 0 VSP Vision Care 67 EyeMed 85 Davis Vision 67 Superior Vision 73 Spectera / UnitedHealthcare 60 Aetna Vision 75 Cigna Vision 79 Humana Vision 91 Humana Vision PLUS 91 Humana Focus / Optimum / Advantage 75 Humana Medicare Advantage 91 Humana Medicare Supplement 91 Superior Vision – Medicare 15 Superior Vision – Medicaid 21 Superior Vision – ACA 5 Superior Select 57 Superior Select Midwest 54 Superior Select Southwest 50

Comprehensive eye exam 80 Glasses & frames 95 Contact lens fitting 100 LASIK consult 0 Pediatric eye care 14 Dry eye treatment 3 Sports & safety eyewear 67

83 Spyder 68 Nike Vision 67 Marchon 67 Airlock 67 Anne Klein 67 AVIO 67 bebe 67 Calvin Klein 67 Canada Goose 67 Cole Haan 67 Columbia 67 Converse 67 Cutler and Gross 67 DKNY 67 Donna Karan 67 Dragon 67 Draper James 67 Ferragamo 67 Flexon 67 Genesis 67 JOE Joseph Abboud 67 Karl Lagerfeld 67 Kendra Scott 67

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