Gate Petroleum Company

  Vision Option

  Plan Overview
  LASIK Benefits
 

 Vision Members

  MyCompBenefits
  Vision Certificate of Benefits
 
 
  Contact Information
 


Plan Frequencies Exam every 12 months
Lenses every 12 months
Frames every 24 months

Copayment for each member at the time of service
Exam: $10
Lenses and/or frames: $15

Maximum Allowances Network Doctor
(After copayments/Up to plan limits)
Non-network
(copays apply)
     
Eye Exam Paid in full $35
Lenses (per pair)    
Single Paid in full $25
Bifocal Paid in full $40
Trifocal Paid in full $60
Lenticular Paid in full $100
Contact Lenses    
Elective (exam & lenses)** Exam+
$105
Exam+
$105
Medically necessary* Paid in full $210
Frame $55 wholesale $55 retail