Compare your vision plan options

Category	GE Vision Preventive Care Option	GE Vision Premium Option
Annual Benefit
Annual In-Network Eye Exam (including dilation)	covered in full / once every calendar year	covered in full / once every calendar year
Evaluation, fitting & follow-up care (standard lens types)	not included	15% discount
Evaluation, fitting and follow-up care (specialty lens types)	not included	15% discount
Spectacle Lenses	member pre-pay Davis Vision as needed	once every calendar year
Frames	member pre-pay Davis Vision as needed	once every calendar year
Contact Lenses	member pre-pay Davis Vision as needed	once every calendar year
Annual Out-of-Network Eye Exam	not covered	not covered
Member Allowance to be Applied to Member Charges	not included	$200 per person
In-Network Service	member charges (pre-pay Davis Vision prior to appointment)*	member charges (applied to the $200 member allowance)
Single Vision Eyeglass Lenses	$63	$41
Bifocal Eyeglass Lenses	$91	$66
Trifocal Eyeglass Lenses	$121	$96
Davis Vision Collection Frame**	$49 (up to Designer Collection)	$57 (up to Premier Collection)
Non Collection Frame	$49 (up to a $120 allowance)	50% discount up to $150 retail and 20% discount above $150***
Davis Vision Collection Contact Lenses*** - Includes Evaluation and Follow-up Care	$140	applies to the $200 allowance with 15% discount on retail cost
Non Collection Contact Lenses - For an Allowance up to $130 for Single Vision Lenses	$104	applies to the $200 allowance with 15% discount on retail cost
Non Collection Contact Lenses - For an Allowance up to $175 for Bifocal Contact Lenses	$154	applies to the $200 allowance with 15% discount on retail cost
Lens Options - Paid to the Provider at Time of Services
Premier Collection Frame**	$25	$0
Oversized Lenses	$11	$0
Tinting of Plastic Lenses (Solid/Gradient)	$0	$0
Scratch-Resistant Coating	$0	$0
Premium Scratch-Resistant Coating	$30	$30
Polycarbonate Lenses	$0	$30
Ultraviolet Coating	$12	$12
Standard Anti-Reflective Coating	$35	$35
Premium Anti-Reflective Coating	$48	$48
Ultra Anti-Reflective Coating	$60	$60
Ultimate Anti-Reflective Coating	$85	$85
Standard Progressive Lenses	$50	$50
Premium Progressive Lenses (i.e. Varilux Lenses)	$90	$90
Ultra Progressive Lenses	$140	$140
Ultimate Progressive Lenses	$175	$175
High-Index Lenses (1.67/1.74)	$55/$120	$55/$120
Polarized Lenses	$75	$75
Plastic Photochromic Lenses (i.e. transitions, etc.)	$65	$65
Trivex Lenses	$50	$50
Blue Light Filtering	$15	$15
Scratch Protection Plan (single vision / multifocal lenses)	$20 / $40	$20 / $40
Out of Network Benefits	not covered	reimbursement is limited to $200 per year for eyewear materials
Additional In-Network Providers (new to the GE network effective 1/1/2020)	Walmart	Walmart and online retailer, Warby Parker
Value Added Features
Feature	Benefit	Benefit
Laser Vision Surgery	network discount	$250 lifetime allowance, per eye
Vision Value Option	Unlimited purchases available through the GE Vision Preventive Care Option. See your Benefits Handbook (coming soon) or contact Davis Vision for more information.	If you exhaust all of your benefits under the GE Vision Premium Option you may take advantage of additional discounts below retail pricing for your eyewear needs. See your Benefits Handbook (coming soon) or contact Davis Vision for more information
Low Vision Services & Devices
Service	Benefit	Benefit
One Comprehensive Evaluation Every Five Years	not covered	Maximum reimbursement of $300 per evaluation
Low Vision Device Allowance	not covered	$600 per device with a lifetime maximum of $1,200 for items such as high-power spectacles, magnifiers and telescopes
Follow-up Care; four visits in any five-year period. (benefits are subject to an aggregate lifetime maximum of $2,000 and must be approved by the Vision Plan Administrator)	not covered	Maximum reimbursement of $100 for each visit

*Purchases can be made by credit card or check
**Davis Vision Collection is available at most participating independent provider offices. Davis Vision Collection is subject to change.
***Discount available at Walmart
One-year eyeglass breakage warranty included on Collection frames and lenses