JHU Plan — 2023
Vision Services and Supplies
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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
E0001500, E0015100 (*001C/*002C/*006C/*007C)
Plan Codes
221C0000