0 PPO   100/80/50
250 PPO   100/80/80/50
500 PPO   100/80/80/50
750 PPO   100/80/80/50
1000 PPO   100/80/80/50
1500 PPO   100/80/80/50
2000 PPO   100/80/80/50
2500 PPO   100/80/80/50
Selections  80/50
Selections  100/80/60
1500 HSA
Vision Care for PPO Plans
Vision Care for Selection Plans
Vision Exam Only