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State Police Enlisted Unit Benefit Booklet

VISION PLAN EXCLUSION

The Plan will not cover:

• Sunglasses, photosensitive or anti-reflective lenses that cost more than the benefit for regular lenses
• Medical and surgical treatment and lenses and/or frames required as a result of medical and/or surgical treatment of birth defects
• Drugs or medications other than for vision testing examinations
• Special procedures such as vision training or subnormal vision aids
• Conditions requiring treatment as the result of employment or war
• Services before the beginning date or after the ending date of coverage
• Covered lenses or frames that are delivered 60 days or more after coverage ends
• Experimental or sub-standard services
• Services not recommended by a physician or optometrist
• Charges for the completion of forms
• Replacement of lost or broken lenses or frames
• The cost of designer frames or frames that exceed BCBSM’s allowable payment

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