Each material benefit is paid out every 12 months, frames are every 24 months. Exam $10 copay Reimbursement up to $45 Glasses Lenses $25 copay Reimbursement from $30-$65 Glasses Frames $130 Allowance Reimbursement up to $70 Contact Lenses (Medically Necessary / Elective) Covered in Full / $130 reimbursement Reimbursement up to $210 / $105 IN NETWORK OUT-OF-NETWORK