Effective 7/1/2011 for small groups and 9/1/2011 for large groups

• $5 Exam Only
• $10 Exam Only
• $15 Exam Only
• $10/$125 Exam Plus
• $15/$75 Exam Plus
• $15/$100 Exam Plus

Health benefit plans offered by Health First Health Plans, Inc. (HFHP) may be subject to limitations and exclusions. For costs and complete details, contact your employer, insurance agent, or HFHP.
2/16/2012

www-vision11 (3/2012)