|Vision Care Services||In-Network Member Cost||Out-of-Network Reimbursement|
|Exam With Dilation as Necessary||$5 off routine, $5 off contact lens fit & follow-up||N/A|
|Complete Pair Eyeglasses Purchase Discounts*: Frame, lenses, and lens options must be purchased in same transaction to receive full discount|
|Frames||35% off retail price||N/A|
|Standard Plastic Lenses|
|Standard Progressive Lens||$135||N/A|
|Lens Options (paid by the member and added to the base price of the lens)|
|Tint (Solid and Gradient)||$15||N/A|
|Standard Plastic Scratch Coating||$15||N/A|
|Standard Anti-Reflecive Coating||$45||N/A|
|Other Add-Ons and Services||20% off retail price||N/A|
|Conventional||15% off retail price||N/A|
|Disposable||0% off retail price||N/A|
|Laser Vision Correction|
|Lasik and PRK** from U.S. Laser Network||15% off the retail price or 5% off the promotional price||N/A|
|Lenses and Contact Lenses||Unlimited|
*Items purchased separately will be discounted 20% off the retail price. **Since LASIK or PRK vision correction is an elective procedure, performed by specially trained providers, this discount may not always be available from a provider in your immediate location. For Lasik providers, call 1-877-5LASER6 or visit eyemedlasik.com and request the discount authorization, please call l-877-5LASER6.
Disclosures: The discount medical, health and drug benefits (The Plan) are NOT insurance, a health insurance policy, a Medicare Prescription Drug Plan or a qualified health plan under the Affordable Care Act. The Plan provides discounts for certain medical services, pharmaceutical supplies, prescription drugs or medical equipment and supplies offered by providers who have agreed to participate in The Plan. The range of discounts for medical, pharmacy or ancillary services offered under The Plan will vary depending on the type of provider and products or services received. The Plan does not make and is prohibited from making members’ payments to providers for products or services received under The Plan. The Plan member is required and obligated to pay for all discounted prescription drugs, medical and pharmaceutical supplies, services and equipment received under The Plan, but will receive a discount on certain identified medical, pharmaceutical supplies, prescription drugs, medical equipment and supplies from providers in The Plan. The Discount Medical Plan/Discount Plan Organization is Alliance HealthCard of Florida, Inc., 5005 LBJ Freeway, Suite 1500, Dallas, TX 75244. Call 1-866-578-1663 or email email@example.com for more information or visit the provider locator on this site for a list of providers. The Plan will make available before purchase and upon request, a list of program providers and the providers’ city, state and specialty, located in the member’s service area. The fees for The Plan are specified in the membership agreement. The Plan includes a 30-day cancellation provision.
Note to MA consumers: The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00.