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Advantage Network
Fixed Fee
No Participation or Contribution Requirements
Click here for complete pricing and details 
| Vision Care Services |
Member Cost |
Out-Of-Network |
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| Exam with Dilation as necessary |
$10.00 copay |
N/A |
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| Exam Options |
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| Standard Content Lens Fit and Follow up |
Up to $40 |
N/A |
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| Premium Contact Lens Fit and Follow up |
10% off retail |
N/A |
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| Frames |
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| Any Frame available at provider location |
$0 copay; $120 allowance
10% off balance over $120 |
N/A |
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| Standard Plastic Lenses |
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| Single Vision |
$10 copay |
N/A |
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| Bifocal |
$10 copay |
N/A |
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| Trifocal |
$10 copay |
N/A |
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| Standard Progressive ** |
$70 |
N/A |
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| Premium Progressive ** |
$70, 80% of charge
less $110 allowance |
N/A |
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| Lens Options |
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| UV Coating |
$12 |
N/A |
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| Tint (Solid and Gradient) |
$12 |
N/A |
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| Standard Scratch-Resistance |
$0 (gold);
$12 (silver) |
N/A |
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| Standard Polycarbonate |
$35 |
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| Standard Anti-Reflective |
$40 |
N/A |
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| Other Add-Ons and Services |
30% off retail price |
N/A |
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Contact Lenses
(discount applies to materials only) |
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| Conventional |
$0 copay; $80 allowance,
15% off balance over 80 |
N/A |
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| Disposable |
$0 copay; $80 allowance,
plus balance over 80 |
N/A |
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| Medically Necessary |
$0 copay, Paid-In-Full |
N/A |
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| Laser Vision Correction (1-877-5LASER6) |
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| Lasik or PRK from U.S. Laser Network |
15% off retail price - or -
5% off promotional price |
N/A |
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| Frequency |
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| Examination |
Once every 12 months |
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| Frame |
Every 12 mths (gold);
Every 24 mths (silver) |
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| Lenses or Contact Lenses |
Once every 12 months |
** Standard/Premium Progressive lenses not covered -- fund as a bifocal lens
DeltaVision® is offered through Canyon Insurance Services, Inc., a wholly owned subsidiary of Delta Dental of Arizona, in partnership with EyeMed Vision Care, LLC.
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