Adult Vision Coverage. 1. When the Member receives a vision examination from a Contracting Vision Provider, the benefit payment is accepted as payment in full. 2. When the Member receives a vision examination from a Non-Contracting Vision Provider, the Member is responsible for the cost difference between the Vision Care Designee’s payment and the Non-Contracting Vision Provider’s actual charge. The Vision Care Designee’s payment is stated in the Schedule of Benefits.
Appears in 3 contracts
Samples: Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement
Adult Vision Coverage. 1. When the Member receives a vision examination from a Contracting Vision Provider, the benefit payment is accepted as payment in full.
2. When the Member receives a vision examination from a Non-Contracting Vision Provider, the Member is responsible for the cost difference between the Vision Care Designee’s payment and the Non-Contracting Vision Provider’s actual charge. The Vision Care Designee’s payment is stated in the Schedule of Benefits.actual
Appears in 2 contracts
Samples: Individual Enrollment Agreement, Individual Enrollment Agreement for a Qualified Health Plan