Payable amount of $30 per insured person per coverage period, including eye refraction.
Payable amount of $75 per insured person once in any consecutive 12-month period, including replacement costs.
Purchase of one pair, up to a payable amount of $200 per surgery per insured person, on condition that they are required as a result of cataract surgery.
Payable amount of $150 per insured person per coverage period.
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