Orange County School Board
 
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Plan Frequencies Exam every 12 months
Lenses every 12 months
Frames every 12 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
 
(Copayments apply)
     
Eye Exam Paid in full $30
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 and lenses)** Exam +
$125
Exam +
$125
Medically necessary* Paid in full $150
Frame $50 wholesale $50 retail