Colonial Benefits -- Vision Care

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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:

Benefit	Frequency	VBA Participating Provider	Non-Participating Provider
Vision Exam	Once every 12 months	Covered 100%	$35 Reimbursement
Clear Standard Lenses
Single Vision	Once every 12 months	Covered 100%	$40 Reimbursement
Bifocal			$50 Reimbursement
Blended “No Line” Bifocals			$50 Reimbursement
Trifocal			$75 Reimbursement
Lenticular			$100 Reimbursement
Progressive Multifocal			$75 Maximum Reimbursement
Polycarbonate Lenses			Not covered
Tints/UV Protective/ Scratch Resistant Coatings			Not covered
A/R coatings		Covered 100%	Not covered
Photocromic Lenses		Covered 100%	Not covered
Frames	Once every 12 months	Covered 100% up to $75 wholesale allowance (approximately $160 to $200 retail)	$60 Reimbursement

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.


Vision Care
	What Is Covered
	What Is Not Covered
	When Coverage Ends
	When Coverage Ends for a Dependent Child

Related Forms
	VBA Enrollment Form

Related Links
	Vision Benefits of America

Disclaimer: Colonial Benefits Online provides only an overview of your benefits from Colonial School District and The State of Delaware. Colonial 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.