Materials copay is $10 applied to lenses and frames. Exams, Lenses, contacts are paid out every calendar year. Frames are paid out every 24 months. Exam $10 copay $45 allowance Glasses Lenses (Single / Bifocal/ Trifocal) $25 copay $30 allowance $50 allowance $65 allowance Glasses Frames $10 copay $140 allowance 20% discount on remaining $70 allowance Contact Lenses (Medically Necessary / Elective) Covered in full / $120 allowance $210 allowance / $105 allowance IN NETWORK OUT-OF-NETWORK
Mt. Vernon Employee Benefits Package 2026 Page 17 Page 19