Vision Care
What Is Not Covered

Your vision care benefit does not cover the following:

• Orthoptics or vision training
• Two pair of glasses in lieu of bifocals
• Services or materials provided as a result of any Workers' Compensation Law (or similar legislation)
• Replacement of lost or broken lenses or frames provided under this plan other than the normal intervals when services are otherwise available
• Non-prescription lenses
• Medical or surgical treatment of the eyes
• Any eye examination, or corrective eyewear, required by an employer as a condition of employment
• Glasses and contact lenses during the same eligibility period (once in 12 months)

If you use a VBA-participating provider, but do not provide the VBA benefit form on your first visit, your vision care services may not be covered under VBA's higher level of benefits for using network providers. In this instance, the VBA-participating provider may elect to charge his or her UCR fees.*

* The UCR (usual, customary and reasonable) fee is charged by other providers in a specific geographic area.

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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