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Vision Benefits at a Glance
AmeriHealth Forms Online — Delaware
Forms are in PDF format.
Plan
Option
HMO/POS
$35 Biennial Corrective Eyeware Benefits
HMO/POS
$100 Biennial Corrective Eyeware Benefits
Freestanding
$35 Annual Corrective Eyewear Benefits
Freestanding
$35 Biennial Corrective Eyeware Benefits
Freestanding
$100 Annual Corrective Eyeware Benefits
Freestanding
$100 Biennial Corrective Eyewear Benefits
Freestanding
$200 Annual Corrective Eyeware Benefits
Freestanding
$200 Bienniall Corrective Eyeware Benefits
Freestanding
$250 Annual Corrective Eyewear Benefits
Freestanding
$250 Biennial Corrective Eyeware Benefits
EPO
$35 Every Year
EPO
$35 Every Two Years
EPO
$35 Every Three Years
EPO
$100 Every Year
EPO
$100 Every Two Years
EPO
$100 Routine Eye 12 Months and Materials every 24 Months