Common use of Out of Network Clause in Contracts

Out of Network. Examination – once a calendar year Covered 100% Optometrist reimbursed up to $35.00 Ophthalmologist reimbursed up to $45 Frames – once a calendar year Up to $65 retail allowance Reimbursed up to $55

Out of Network. Examination – once a calendar year Covered 100% (after $6.50 co-pay) Optometrist reimbursed up to $35.00 28.50 Ophthalmologist reimbursed up to $45 38.50 Frames – once a calendar year Up to $65 retail allowance Reimbursed up to $5544