Hernando County School Board
 
  How It Works
  Plan Overview

  Certificate of Benefits

  LASIK

 
  MyCompBenefits
  Vision Out-of-Network Claim Form
  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 $10.00
Lenses and/or frames $15.00

Maximum Allowances Network Doctor
Non-network (After copayments/Up to plan limits)
Non-network
(copayments apply)
Eye Exam Paid in full $35
Lenses (per pair)    
Single Paid in full $20
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 $150
Frame $40 wholesale $40 retail