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This is our most popular plan option with $10 exam co-pay and $120 frame and contact lens allowances. This is the ideal plan for comprehensive benefit options, broad network accessibility and affordability. More employers select plan 10-120 than any other plan offering.

Select Network Broad Network Out-of-
Network
Eye Exam
Eyeglass Exam $10 Copay $15 Copay $50 Allowance
Contact Exam $10 Copay $15 Copay $50 Allowance
Dilation 100% Covered Retail Included Above
Contact Fitting 100% Covered Retail Included Above
Lenses *Standard Plastic
Single Vision 100% Covered $10 Copay $100 Allowance for lenses, options, and coatings
Bifocal (FT 28) 100% Covered $10 Copay
Trifocal (FT 7x28) 100% Covered $10 Copay
Lens Options
Progressive (Standard plastic no-line*) $30 Co-pay $50 Co-pay
Glass lenses 15% Discount 15% Discount
Polycarbonate $40 Co-pay 25% Discount
High Index $80 Co-pay 25% Discount
Coatings
Scratch Resistant Coating 100% Covered $10 Copay  
Ultra Violet protection 100% Covered $10 Copay
Other Options - A/R, edge polish, tints, mirrors, etc. 25% Discount 25% Discount
Frames
Allowance Based on Retail Pricing $120 Allowance $100 Allowance $100 Allowance
Additional pairs of glasses throughout the year
50% off Retail 25% off Retail
Contacts
$120 Allowance $100 Allowance $100 Allowance
Contact benefit is in lieu of lens and frame benefit
Additional Contact Purchases
Conventional Up to 20% off Retail  
Disposables Up to 10% off Retail  
Refractive surgery (LASIK) $100.00 off per eye
LASIK services are not an insured benefit - this is a discount only
Surgery through Physicians Laser Center of SLC, UT
All pre & post operative care provided by Standard Optical
Discounts Any item listed as a discount in the benefit outline above is a merchandise discount only and not an insured benefit

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Opticare Basic
Opticare Premier
Opticare 10-70
Opticare 10-120
Opticare Plan: 70 C
Opticare Plan: 130
Opticare-E
Value Vision
Safety Eyewear
Limitations & Exclusions
LASIK Vision Correction
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