Exclusions
– Vision Benefits
Benefits are
not
provided for:
- The
replacement of lost, stolen or broken lenses or frames unless the time
limitations have been met.
- Lenses,
frames or contacts ordered
before
the date the patient was eligible under this plan.
- Expenses
for surgical or medical diagnosis and care, or treatment of eye disease or
injury, except as provided for under Medical Benefits.
- Eye
examinations, frames, lenses or other materials necessitated by or furnished as
a condition of employment, which the employer is required to provide by virtue
of a labor agreement, or which is required by a government body.
- Maintenance
services, warranties for lenses and frames, contact lens care kits, dispensing
fees, consultation charges, eye glass cases, or services for which no charge is
made.
- Expenses
for vision testing examinations, lenses or frames that do not meet accepted
standards of ophthalmic practice including expenses for any such services or
supplies which are experimental in nature or which are not ordered or prescribed
by the attending ophthalmologist, optometrist or optician.
- Nonprescription
lenses, glasses or other special purpose vision aids (such as magnifying
attachments), sunglasses or light-sensitive lenses, industrial safety lenses, or
goggles, even if prescribed.
- Cosmetic
services or supplies such as, but not limited to, charges for special lens
edging, faceting, engraving, or the like.
- Services
or supplies subject to General Limitations and Exclusions or any
other provision of this plan.
|
|
|
