SOLSTICE VISION 5 PPO

SOLSTICE VISION PPO

Regular eye exams can detect diseases like glaucoma, diabetes, and other possible causes of blindness in their early stages. Solstice Vision PPO provides access to the Davis Vision network with exams and materials for nominal copays. Members can visit any doctor in the Davis Vision network or choose to go Out-of-Network to the doctor of their choice.

SOLSTICE VISION 5 PPO

Rates are for new and renewing groups effective 4/1/2024 — 6/1/2024

PLAN RATES (MONTHLY)

Employee
$6.53
Employee/Spouse (DP)
$11.80
Employee/Child(ren)
$13.45
Family (DP)
$18.77

PLAN HIGHLIGHTS

  • $10 copay for an exam every 12 months
  • $25 copay for lenses & contact lenses every 12 months
  • $25 copay for frames every 24 months 
  • Davis Vision In-Network; Out-of-Network access as well

This is a summary of plan information. Please refer to the Eligibility Guidelines for further information.
The following billing and administrative fees apply to the Vision plans: EE $1.50, EE/Spouse $2.25, EE+Child(ren) $2.25, Family $3.00
Rates are subject to final verification at the time of enrollment.