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PLAN YEAR 2022
VISION PLANS MEMBER SPOUSE CHILD CHILDREN Primary Vision Care Services (PVCS) $ 10.40 $ 9.28 $ 9.20 $ 11.50 Superior Vision $ 7.40 $ 7.34 $ 6.96 $ 14.30 Vision Care Direct $ 15.70 $ 11.16 $ 11.16 $ 22.48 VSP (Vision Service Plan) $ 8.62 $ 5.66 $ 5.58 $ 12.22 SUPPLEMENTAL LIFE – Age-Rated Cost Per $20,000 Unit
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