Benefits
What You Can Expect To Pay At The Eye Doctor
Vision Fee Schedule
Code
Service
Discounted Rate
Routine eye exam including refraction (new patient)
$65.00
Routine eye exam including refraction (established patient)
$65.00
Frames
30% Discount
Lenses
Code
Service
Discounted Rate
Single Vision (conventional plastic)
Lenses
$50.00
Bifocals (conventional plastic)
Lenses
$75.00
Trifocals (conventional plastic)
Lenses
$105.00
Standard Progressive (no-line bifocal)
Lenses
$145.00
Premium Progressive
Lenses
20% Discount
Ultra (HD)
Lenses
20% Discount
Polycarbonate
Lenses
$40.00
Trivex
Lenses
20% Discount
Hi-Index
Lenses
$80.00
Polarized
Lenses
$75.00
Blended Segment
Lenses
$20.00
Contact Lenses
Code
Service
Discounted Rate
Conventional/Disposable
Contact Lenses
10% Discount
Coating
Code
Service
Discounted Rate
Standard Anti-Reflective
Coating
$45.00
Ultraviolet
Coating
$15.00
Scratch-Resistant
Coating
$15.00
Transitions
Coating
20% Discount
All other services not listed
20% Discount
Medical claims (without insurance)
20% Discount
ntiDirectCare Progressive Lens Formulary
Standard | Min Fit Height | Standard | Min Fit Height |
---|---|---|---|
AO Compact | 15 mm | Sola VIP | 18 mm |
AO Compact Ultra | 13 mm | Sola VIP Gold | 18 mm |
Armorlite Navigator | 20 mm | Vision Ease Outlook | 18 mm |
Armorlite Navigator Short | 14 mm | Vision Ease Tegra Outlook | 18 mm |
Essilor Adaptar | 20 mm | X-Cel Freedom ID | 17 mm |
Essilor Natural | 18 mm | Younger Image | 18 mm |
Hoya GP Wide | 18 mm | Clarity (Proprietary Design) | 17 mm |
KbCo Fusion II | 20 mm | Clarity Short (Proprietary Design) | 14 mm |
Sola Instinctiv | 17 mm | ||
Premium | Min Fit Height | Standard | Min Fit Height |
AO Easy | 18 mm | Sola SolaMax | 17 mm |
Armorlite Kodak Concise | 14 mm | Sola SolaOne | 18 mm |
Armorlite Kodak Precise | 17 mm | Varilux Ellipse | 14 mm |
Armorlite Kodak Precise Short | 13 mm | Varilux New Comfort | 17 mm |
Essilor Accolade | 17 mm | Varilux Physio | 17 mm |
Essilor Ovation | 17 mm | Varilux Physio Short | 14 mm |
Essilor Smallfit | 14 mm | Vision Ease Illumina | 17 mm |
Hoya Summit CD | 14 mm | Younger Adage | 13 mm |
Hoya Summit ECP | 18 mm | Zeiss GT2 | 17 mm |
Seiko Proceed II | 18 mm | Zeiss GT2 Short | 13 mm |
Seiko Proceed III | 16 mm | Clarity HD (Proprietary Free Form) | 16 mm |
Special lens designs, materials and powers may require additional cost
Depending on manufacturer discount rules, Contact Lens discounts may not be available
Discounts applied to providers retail price list
This formulary is subject to change. Effective 4/15/2016.sc
Last Revised: 10/17/2016