Routine Eye Exams Clause Samples

The Routine Eye Exams clause defines the coverage and terms related to regular vision check-ups under an insurance policy or health plan. It typically specifies the frequency at which insured individuals can receive eye exams, such as once per year, and may outline any copayments, network provider requirements, or exclusions for additional services like contact lens fittings. This clause ensures that policyholders have access to preventive eye care, helping to detect vision problems early and maintain overall eye health, while also clarifying the insurer's obligations and the insured's entitlements.
Routine Eye Exams. Limited to one (1) routine examination per year for which no copay applies. Eye injury or illness at an in-network provider will be covered as an office visit based on the benefit level in which the individual is enrolled.