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Health Vision
  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.

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