Competitive coverage that allows members access to an extensive network of vision providers for continued visual health. Plans provide coverage for exams, lenses, contact lenses, frames and even LASIK. The Difference is Clear. 


Provider Lookup (Davis Vision) http://www.solsticebenefits.com/provider-search.aspx (Davis Vision)
Find a Dental Provider (How To) PDF
Plan Summary, Services & Co-pays PDF


In Network Benefits
Eye Examination inclusive of Dilation (when professionally indicated) 12 Months
Spectacle Lenses 12 Months
Frame 24 months
Contact Lens Evaluation, Fitting & Follow Up Care 12 Months
Contact Lenses (in lieu of eyeglasses) 12 Months
Copayments
Eye Examination $10
Spectacle Lenses $25
Contact Lens Evaluation, Fitting & FollowͲUp Care¹ $25
Eyeglass Benefit Frame (Average Retail Value)  
Non-Collection Frame Allowance (Retail): Up to $150 Up to $100
Plus a 20% discount on any overage ²
Davis Vision Frame Collection³ (in lieu of Allowance):  
Fashion level Up to $125 Included
Designer level Up to $175 $15 copayment
Premier level Up to $225 $40 copayment
Eyeglass Benefit Spectacle Lenses (Average Retail Value) Member Charges
Clear plastic singleͲvision, lined bifocal, trifocal or
lenticular lenses (any size or Rx) ($60 to $120)
Included
Tinting of Plastic Lenses ($20) $15
Scratch Resistant Coating ($25-$40) Included
Polycarbonate Lenses (Children/ Adults) ($60-$75) $0 or $35
Ultraviolet Coating ($25-$30) $15
Anti-Reflective (AR) Coating(Standard/Premium/Ultra) ($50-$125) $40 / $55 / $69
Progressive Lenses(Standard / Premium / Ultra) ($150-$300) $65 / $105 / $140
Intermediate-Vision Lenses ($150-$175) $30
High-Index Lenses ($90-$150) $60
Polarized Lenses ($95-$110) $75
Plastic Photosensitive Lenses ($95-150) $70
Scratch Protection Plan: Single Vision | Multifocal Lenses $20/$40
Contact Lens Benefit (in lieu of eyeglasses)  
Non-Collection Contact Lenses: Materials Allowance Up to $100
Plus a 15% discount on any overage²
- Evaluation, Fitting & Follow-Up Care – Standard Lens Types 15% Discount²
- Evaluation, Fitting & Follow-Up Care – Specialty Lens Types 15% Discount
Collection Contact Lenses ³ (in lieu of Allowance): Materials  
- Disposable N/A
- Planned Replacement N/A
- Evaluation, Fitting & Follow-up Care N/A
Medically Necessary Contact Lenses (with prior approval)
- Materials, Evaluation, Fitting & Follow-Up Care
Included
Out of Network Reimbursement Schedule up to:
Eye Examination $40
Frame $50
Single Vision Lenses $40
Bifocal/Progressive Lenses $60
Trifocal Lenses $80
Lenticular Lenses $100
Elective Contact Lenses $80
Medically Necessary CL $225
   
¹ Copayment applies to Collection Contact Lenses only.
² Additional discounts not applicable at Walmart or Sam's Club locations.
³ Collection is available at most participating independent provider offices.Collection is subject to change.Collection is inclusive of select torics and multifocals.
Ϻ Polycarbonate lenses are covered in full for dependent children, monocular patients and patients with prescriptions +/Ͳ6.00 diopters or greater.
Category includes digital freeͲform progressive lenses. Freque