Common use of Pediatric Vision Coverage Clause in Contracts

Pediatric 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 a Member receives frames and spectacle lenses or contact lenses from a Contracting Vision Provider, the Member’s responsibility is as stated below. The benefit payment is as stated in the attached Schedule of Benefits. a. When the Member receives frames from the display of collection frames (the collection designated by the Vision Care Designee) and basic spectacle lenses from a Contracting Vision Provider, the benefit payment is accepted as payment in full. SAMPLE b. When the Member receives other frames, non-basic spectacle lenses or contact lenses from a Contracting Vision Provider, the Member is responsible for the cost difference between the Vision Care Designee’s payment and the Contracting Vision Provider’s actual charge. 3. When the Member receives Covered Vision Services 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.

Pediatric 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 a Member receives frames and spectacle lenses or contact lenses from a Contracting Vision Provider, the Member’s responsibility is as stated below. The benefit payment is as stated in the attached Schedule of Benefits. a. When the Member receives frames from the display of collection frames (the collection designated by the Vision Care Designee) and basic spectacle lenses from a Contracting Vision Provider, the benefit payment is accepted as payment in full. SAMPLE. b. When the Member receives other frames, non-basic spectacle lenses or contact lenses from a Contracting Vision Provider, the Member is responsible for the cost difference between the Vision Care Designee’s payment and the Contracting Vision Provider’s actual charge.. Sample 3. When the Member receives Covered Vision Services 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.

Pediatric 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 a Member receives frames and spectacle lenses or contact lenses from a Contracting Vision Provider, the Member’s responsibility is as stated below. The benefit payment is as stated in the attached Schedule of Benefits. a. When the Member receives frames from the display of collection frames (the collection designated by the Vision Care Designee) and basic spectacle lenses from a Contracting Vision Provider, the benefit payment is accepted as payment in full. SAMPLE. b. When the Member receives other frames, non-basic spectacle lenses or contact lenses from a Contracting Vision Provider, the Member is responsible for the cost difference between the Vision Care Designee’s payment and the Contracting Vision Provider’s actual charge. 3. When the Member receives Covered Vision Services 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.

Pediatric 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 a Member receives frames and spectacle lenses or contact lenses from a Contracting Vision Provider, the Member’s responsibility is as stated below. The benefit payment is as stated in the attached Schedule of Benefits. a. When the Member receives frames from the display of collection frames (the collection designated by the Vision Care Designee) and basic spectacle lenses from a Contracting Vision Provider, the benefit payment is accepted as payment in full. SAMPLE. b. When the Member receives other frames, non-basic spectacle lenses or contact lenses from a Contracting Vision Provider, the Member is responsible for the cost difference between the Vision Care Designee’s payment and the Contracting Vision Provider’s actual charge.. SAMPLE 3. When the Member receives Covered Vision Services 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.

Pediatric 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 a Member receives frames and spectacle lenses or contact lenses from a Contracting Vision Provider, the Member’s responsibility is as stated below. The benefit payment is as stated in the attached Schedule of Benefits. a. When the Member receives frames from the display of collection frames (the collection designated by the Vision Care Designee) and basic spectacle lenses from a Contracting Vision Provider, the benefit payment is accepted as payment in full. SAMPLE. b. When the Member receives other frames, non-basic spectacle lenses or contact lenses from a Contracting Vision Provider, the Member is responsible for the cost difference between the Vision Care Designee’s payment and the Contracting Vision Provider’s actual charge. 3. When the Member receives Covered Vision Services 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 SAMPLE actual charge. The Vision Care Designee’s payment is stated in the Schedule of Benefits.