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| Vision Plan Exclusions |
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Claim Filing Information
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State Police Enlisted
Unit Benefit Booklet
VISION PLAN EXCLUSION
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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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