Bifocal Lenses definition

Bifocal Lenses. A lens containing two different powers: one for distance vision and one for near vision. Bifocal Lenses can be lined or unlined. Lined Bifocal Lenses are those in which both powers are easily distinguished by a line between them. Unlined Bifocal Lenses are those in which both powers are not easily distinguishable. Blended-Segment Lenses – Lenses containing two different powers, one for distance, and one for near. Segment with near prescription is invisible. Claim – A Claim is written or electronic proof, in a form acceptable to the Company, of charges for Covered Services that have been incurred by a Member during the time period the Member was insured under this Benefit Plan. The provisions in effect at the time the service or treatment is received shall govern the processing of any Claim expense actually incurred as a result of the service or treatment rendered. COBRA – Consolidated Omnibus Budget Reconciliation Act of 1985, as amended from time to time, and its regulations. Company – Blue Cross and Blue Shield of Louisiana (incorporated as Louisiana Health Service & Indemnity Company), or Xxxxx Vision, Inc. in regards to the services it renders on Blue Cross and Blue Shield of Louisiana’s behalf. Complaint – An oral expression of dissatisfaction with the vision plan or Provider services. Concurrent Review – A review of Medical Necessity, appropriateness of care, or level of care conducted during a course of treatment. Contact Lenses – Devices that correct refractive errors in vision and are comprised of a small shell-like lens that is worn externally resting directly on the eye. It includes soft lenses, daily wear, disposable/planned replacement, extended wear, gas permeable, hard, medically necessary, monovision, scleral shell and toric. Cosmetic Surgery/Treatment – Any operative procedure, treatment, or service, or any portion of an operative procedure, treatment or service performed primarily to improve physical appearance. An operative procedure, treatment or service is not considered Cosmetic Surgery if it restores bodily function or corrects deformity to restore function of a part of the body that an Accidental Injury, disease, disorder or covered Surgery has altered.

Examples of Bifocal Lenses in a sentence

• Examination 80% of R and C; once every 12 months Regular Lenses 80% of R and C; once every 12 months Bifocal Lenses 80% of R and C; once every 12 months Trifocal Lenses 80% of R and C; once every 12 months Lenticular Lenses 80% of R and C; once every 12 months Frames 80% of R and C; once every 12 months Contact Lenses 80% of R and C; following cataract surgery or when visual acuity cannot be corrected to 20/70 in the better eye except by their use.

• Effective October 1, 2012, reimbursement for prescription eye glasses (frames and/or lenses) or contact lenses once every 24 months up to a maximum of: Single Vision Lenses $220 Bi-focal Lenses $275 Multi-focal Lenses $345 Contact Lenses $230 Repairs (not replacements) at the usual and customary rates as determined by the carrier.

• Exam up to $45Lined Bifocal Lenses up to $50Progressive Lenses up to $50Frame up to $70Lined Trifocal Lenses up to $65Contacts up to $105Single Vision Lenses up to $30 VSP guarantees coverage from VSP network providers only.

• VISION INSURANCE The Board shall provide a self-insured vision program equivalent to the following: Exam $ 48.00 Regular Lenses $ 60.00 Bifocal Lenses $ 72.00 Trifocal Lenses $ 72.00 Lenticular Lenses $ 96.00 Contacts $132.00 Frames $ 72.00 Tint $ 12.00 All benefits hereunder are subject to the terms and conditions of the insurance policies and any claims shall be made against the insurance carrier.

• Lenses - limited to 1 pair every 12 months Single Vision Lenses - 100% up to $50.00 Bifocal Lenses - 100% up to $70.00 Trifocal Lenses - 100% up to $80.00 Lenticular Lenses - 100% up to $100.00 Frames (limited to 1 set each 12 months) - 100% up to $75.00 Contact Lenses (limited to 1 set each 12 months): Elective - 100% up to $125.00 in lieu of lenses & frames Necessary - 100% up to $175.00 Note: The maximum amount payable for a single lens is 50% of the maximum amount payable for a pair of lenses.

• The vision plan provides the following benefits after a twenty-dollar ($20.00) co-pay: VSP VSP Benefits Member Doctor Non-Member Doctor Examination Covered In Full $35 Single Vision Lenses Covered In Full $25 Bifocal Lenses Covered In Full $25 Trifocal Lenses Covered In Full $55 Lenticular Lenses Covered In Full $80 Frame VSP Covers In Full The Majority of Frames On The Market.

• Examination Covered In Full $35 Single Vision Lenses Covered In Full $25 Bifocal Lenses Covered In Full $25 Trifocal Lenses Covered In Full $55 Lenticular Lenses Covered In Full $80 Frame VSP Covers In Full The Majority of Frames On The Market.

• Bifocal Lenses by an Ophthalmologist or Optometrist, up to three .

• The Board shall provide a self-insured vision program equivalent to the following: Exam $ 48.00 Regular Lenses $ 60.00 Bifocal Lenses $ 72.00 Trifocal Lenses $ 72.00 Lenticular Lenses $ 96.00 Contacts $132.00 Frames $ 72.00 Tint $ 12.00 All benefits hereunder are subject to the terms and conditions of the insurance policies and any claims shall be made against the insurance carrier.

• Vision Examinations (limited to one (1) exam per year) $50 per exam Lenses (limited to one (1) pair every year) Single Vision Lenses $40 per pair Bifocal Lenses $50 per pair Trifocal Lenses $60 per pair Lenticular Lenses $70 per pair Frames (limited to one (1) set each 2-year period) $90 per frame Contact Lenses (limited to one (1) set each year) Elective $35 per pair Necessary $200 per pair Note: One (1) pair of Contact Lenses may be purchased in lieu of the one (1) pair of Lenses.