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Active Lifestyle Vision Plan
In-Network Benefit Highlights:
|For individuals with effective dates between January 1st, 2016 and December 31st, 2017||Copay||Frequency|
|WellVision Exam - Focuses on eyes and overall wellness||$10||Annual|
|Prescription Glasses and Lenses|
|Frames - $150 allowance; 20 percent savings on amount over allowance||$25||Annual|
|Lenses - Single, lined bifocal and trifocal, polycarbonate for dependent children||$25||Annual|
|Contacts (instead of glasses) - $150 allowance; copay does not apply, contact lens exam (evaluation and fitting)||$25||Annual|
NOTE: That the Vision benefit overview represents coverage for In-Network doctors ONLY. For Out-Of-Network information please contact your local sales representative.
*Renaissance Internal Data, 2016
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Underwritten by Renaissance Life & Health Insurance Company of America, Indianapolis, IN and in New York by Renaissance Health Insurance Company of New York, New York, NY. Each company has sole financial responsibility for its own products. Products and services referred to are not available in all states and jurisdictions.