Optical fee schedule

AMERICAN OPTICAL PLAN

What is American Optical Plan?

AOP is an Arizona network of independent, non-franchised and non-department store optical professionals.AOP is not insurance.There are no monthly premiums to pay or complicated claim forms to complete. Members of American Optical Plan can receive quality eye and vision healthcare by any participating eye doctor at convenient locations.

How Do I Receive Care?

To receive the benefits of offered through AOP simply complete the enrollment process, choose any of the health care providers listed and call for an appointment.Present your membership card to the participating eye care professional and pay the provider directly at the time of service.

Why Join American Optical Plan?

Membership in AOP is very affordable and offers dramatic savings on optical and hearing services.You are also able to choose most name brand eyewear at a reduction of normal retail prices.And, these eye care professionls are willing to provide dispensing services after your eye exam in order to provide proper follow-up care.This individual approach lessens the "warehouse style" of dispensing glasses/contacts and provides the quality service you deserve.

It's Simple to Enroll!

1.Complete theenrollment form.Be sure to list your spouse and all eligible dependents.

2.Select the length of membership, (either one or two years),attach appropriate membership fee and mail to:
American Optical Plan
1645 E. Bethany Home Rd.
Phoenix, AZ 85016

3.You will receive your personal ID card within 5 days.Benefits are available immediately!

4.Membership fee is non-refundable upon processing of application.

Membership Benefit Fee Schedule

Routine Eye Examinations:

Routine Eye Exams$52.00
Contact Lens Exam$65.00
Contact Lens Fitting(optional) $25.00

Routine eye exams include visual acuity, motility testing, glaucoma test, refraction, slit lamp exam and ophthalmoscopy.(The contact lens exam includes the above plus keratometry and lens care instructions).

Additional tests may include color, depth and visual field and are available at additional fees.

Eyewear:(effective Nov 2004)*

Members pay the wholesale cost plus a small dispensing fee.

Lenses
Single Vision(CR-39) $29.00
(Poly) $43.00
(all others)25% savings

Bi-Focal(CR-39) $34.00
(Poly) $52.00
(all others)25% savings

Progressive (CR-39) $115.00
(Poly) $132.00
(all others)25% savings

Additional selections 25% savings

Lens Options:
Tint, scratch, UV, etc.25% savings

Frames25% Savings
(Frame selection may exclude certain designer, specialty and clearance items.)

Contact Lenses
Includes follow-up visits within 30 days of purchase).

Disposable 10% savings
Extended Wear25% savings
Gas Permeable25% savings
Toric/Bifocal 25% savings

Coronal Refractive Therapy15% savings

Medical Services:
Cataract Screening No Charge
LasikConsultation* No Charge
*(consultation does not include exam)

Additional health care services available from participating ophthalmologists at 15% savings off usual and customary charges.

Hearing Aid Services:

Hearing Evaluation No Charge
Otoscopic EvaluationNo Charge
Private ConsultationsNo Charge

Abbott Hearing Aid Centers
(
offering in-home appointments)
$200 off each digital hearing aid purchased:
Nine locations throughout Metro Phoenix and Flagstaff.
http://www.abbotthearing.net


Sound Investment Hearing Centers
$100 Off each hearing aid purchased:
14848 N. Cave Creek Rd., Phoenix
7349 N. Via Paseo Del Sur, Scottsdale
36889 N. Tom Darlington, Carefree
(602) 992-3520

Additional Notes:

Individuals using Medicare will be charged fees allowed by Medicare and will be responsible for the co-insurance.AOP provides savings when the prescription is taken to a participating optician.

Dependent coverage is defined as spouse and/or children to age 19, or to age 23 if full-time student.Coverage of a child who is mentally or physically challenged will be considered dependent indefinately.

*Fee Schedule subject to change without written notice to members.
*The number of eye exams and/or purchases is not limited during your membership.
*Provider locations subject to change without notice.
*Payment due at time of service/purchase.
*Providers assume full responsibility and liability for all services offered and performed.Members agree to hold American Optical Plan harmless from any actions of independent providers.

Additional questions and inquiries can be directed to:
American Health Network (602) 265-6677