Explore a Plan:

JHU Retirees Plan — 2022-2023

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EHP Network Provider Out of Network Provider
Contact Lenses
Medically necessary Not Covered Not Covered
Elective Not Covered Not Covered
Materials
Single vision Not Covered Not Covered
Bifocal Not Covered Not Covered
Trifocal Not Covered Not Covered
Lenticular Not Covered Not Covered
Frames Not Covered Not Covered
Vision Exam
Vision Exam 100% of allowed amount; deductible waived (one exam every two years; excludes contact lens fitting fee) Not Covered
Revised
December 29, 2023
Group Number
E0005100 (*003C/*004C)
Plan Codes
225C0000
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