Common use of Lenses Clause in Contracts

Lenses. One pair in each twelve (12) consecutive month period is covered. Payment is made for the actual charge for one or two lenses or contact lenses, but not more than: Per Lens: Per Pair: Single Vision $20 $40 Bifocals $30 $60 Trifocals $40 $80 Lenticular $100 $200 Contact Lenses (cosmetic) $35 $70 Contact Lenses (medically necessary) $200 $400 Note: the amount for a single lens is fifty percent (50%) of the amount for a pair of lenses. The plan will pay the actual charge for the services and supplies up to the maximum; the difference will be added to the maximum amount applicable to any other service or supply for which a charge is incurred within sixty (60) days.

Lenses. One pair in each twelve (12) consecutive month period is covered. Payment is made for the actual charge for one or two lenses or contact lenses, but not more than: Per Lens: Lens Per Pair: Pair Single Vision $$ 20 $$ 40 Bifocals $$ 30 $$ 60 Trifocals $$ 40 $$ 80 Lenticular $100 $200 Contact Lenses lenses (cosmetic) $$ 35 $$ 70 Contact Lenses lenses (medically necessary) $200 $400 NoteNOTE: the The amount for a single lens is fifty percent (50%) of the amount for a pair of lenses. The plan will pay the actual charge for the services and supplies up to the maximum; , the difference will be added to the maximum amount applicable to any other service or supply for which a charge is incurred within sixty (60) days.