HMO No Rx Member Guide

19 E Vision benefits You receive a routine vision exam and allowance every two years. • $0 copay for your routine vision exam. • Use your $150 routine vision allowance 4 for the cost of eyewear, such as lenses and frames or contact lenses. To find a participating vision or dental provider, log in to My Health OnLine and click Find Care. You can also call your Health Care Concierge team for assistance. Dental benefits Make sure to take advantage of all the dental benefits your plan has to offer: 5 • $0 for two oral exams and cleanings per year • $0 for one bitewing x-ray per year • $0 for one panoramic x-ray every 36 months • $200 allowance for fillings and simple tooth extractions