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This is Opticare of Utah's preferred provider discount program. This program is a reduced fee for service, discount program affording the member 35-50% off retail pricing. Standard Optical providers offer this discount to contracted providers such as Altius Health Plans, PEHP Plus, Regence Blue Cross Blue Shield of Utah, Intermountain Health Care Employees. Check out the plan design below.

Retail You Pay
Eye Exam
Eyeglass Exam $59.95 $29.95
Contact Exam (regular) $79.95 $39.95
(torics/ gas perms.) $99.95 $59.95
Dispensing Fee $20.00 No Fee
Lenses (Plastic)
Single Vision $ 49.95 $ 31.00
ST 28 Bifocals $ 89.95 $ 45.00
ST 7X28 Trifocals $109.95 $ 55.00
Progressive (Standard No-line) $179.95 $105.00
Lens Options
Polycarbonate Lenses (DuraLite) $ 40.00 $ 30.00
High Index $ 80.00 $ 60.00
Additions
Scratch Resistant Coating $ 20.00 $ 12.00
U.V. Coating $ 20.00 $ 12.00
U.V. Coating $ 20.00 $ 12.00
Solid Tint $ 20.00 $ 10.00
Gradient Tint $ 20.00 $ 10.00
Anti Reflective Coating $ 50.00 $ 35.00
Frames
0 to $100.00 Retail 50% off UCR
$101.00 to $199.00 35% off UCR
$200.00 and above $70.00 credit
Refractive Surgery (Lasik) Price
$100.00 OFF PER EYE
(Retail prices listed effective 1-1-05 subject to change.)

• All In-State Network services provided by Standard Optical.
• For Out-of-State Network providers Call: (800) 363-0950 (NVA- National
Vision Administrators)
• LASIK Surgery benefits available through Francis J. Wapner, M.D., F.A.C.S.
(Pre/Post Operative care provided by Standard Optical)
• Standard Optical honors all “current” outside prescriptions.
• Non-Prescription Sunglasses & other merchandise not specifically listed above available at 20% off.
• 50% frame discount does not apply to some specialty frames, which are restricted against discounts
per manufacturers agreement.





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