| In-Network | Out-of-Network | |
| Well Vision Exams | Plan pays 100% after $10 copay | Plan pays up to $50 after $10 copay |
| Primary and Diabetic Eye Care Services | $20 copay | Not covered |
| Lenses and Frames Copayment | $25 copay | See limits below |
| Contact Lens Copay | $60 copay | See limits below |
| Lenses & Frames (once every calendar year) | ||
| Single Vision Lenses | Plan pays 100% | Plan pays up to $50 |
| Bifocal and Trifocal Lenses (lined) | Plan pays 100% | Plan pays up to $75 and $100 |
| Standard Progressive Lenses | Plan pays 100% | Play pays up to $75 |
| Anti-Reflective Coating | $30 copay | Not covered |
| Adult and Child Polycarbonate Lenses | Plan pays 100% | Not covered |
| Frames | Plan pays up to $200, plus 20% off any out-of-pocket cost Play pays up to $110 at Costco |
Plan pays up to $70 |
| Contact Lenses (in lieu of lenses and frames) | ||
| Elective | $60 copay for fitting Plan pays $200 for contacts |
$60 copay for fitting Plan pays up to $105 for contacts |
| Necessary | Plan pays 100% | Plan pays up to $210 |
| Laser Vision Correction LASIK, Custom LASIK, or PRK |
Plan pays up to $250 per eye | Not covered |
| BUY-UP Plan | ||
| Frames or Contacts | Same allowance for second pair of glasses or contact lens | Same allowance for second pair of glasses or contacts |
*This overview summarizes the Marvell Benefits Program. Full details of the benefit plan are contained in the official documents, which will govern in the case of any discrepancies.
View network comparison here.