Vision Care
What Is Covered

Whether or not you choose a VBA-participating provider, vision care benefits include a vision exam, standard lenses and a pair of frames once every 12 months. You and your covered spouse and dependents are eligible for the following benefits:

NOTE: When you use a VBA provider, you must present a VBA benefit form on your first visit.
*The UCR (usual, customary and reasonable) fee is charged by other providers in a specific geographic area.

Contact Lenses Selected in lieu of glasses
Contacts and a contact lens exam are reimbursed up to a combined maximum of $190.

Contacts - Medically Required
VBA will pay 100% of the UCR fee* if you use a VBA-participating provider and $250 if you use a non-participating provider.

Additional Vision Care Benefits
The following options are supplementary cosmetic benefits available through the Vision Care Plan for an additional cost. All fees for additional benefits are set by VBA.

• Rimless frames
• Lamination of a lens or lenses
• Contact lenses or frames in excess of what is covered by the plan

Call VBA's Customer Service Department at 1-800-432-4966 or visit the VBA Web site for information about these benefits.

Disclaimer: Brandywine Benefits Online provides only an overview of your benefits from Brandywine School District and The State of Delaware. Brandywine School District and The State of Delaware reserve the right to amend or to terminate any benefit plan at any time, with or without notice. Review more important legal information about your benefits plans.

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