Common use of Lens or Lenses Clause in Contracts

Lens or Lenses. Benefits shall be payable for lenses only when prescribed by a participating or non-participating ophthalmologist or optometrist. Payment of such benefits shall be limited to one such lens, or set of lenses, for each Participant in any period of twenty-four (24) consecutive months, except that if a subsequent lens or set of lenses is received during such twenty-four (24) month period by reason of a prescription change and the new lens or set of lenses differs from the most recent one by an axis change of 20 degrees or .50 diopter sphere or cylinder change and improves visual acuity by at least one line of the standard chart, such new lens or set of lenses shall be considered a covered vision benefit.

Appears in 5 contracts

Samples: Insurance Agreement, Pension and Insurance Agreement, Insurance Agreement

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