Advantage Network COB Secondary Allowances
|
Eye exam |
$50 |
less secondary plan copays |
|
Lenses |
$36 |
less secondary plan copays |
|
Frame |
$58 |
less secondary plan copays |
|
Maximum for Exam, Lens and Frame |
$144 |
less secondary plan copays |
Secondary allowances are cumulative.
Other Secondary Allowances:
- For patients with an Elective Contact Lens Benefit, refer to the Patient Record Report for the contact lens allowance. (Note: A covered-in-full contact lens exam does not have secondary COB dollar value).
- For patients with allowance plans, refer to the Patient Record Report for the material allowance.
- You can coordinate the secondary exam allowance with the exam, refraction and/or retinal screening out-of-pocket expense from the primary plan.