<thead>
<tr class="footable-header">
                                <th scope="col" colspan="2" class="ninja_column_0 ninja_clmn_nm_benefit ">UHC Vision PPO Plan</th><td class="ninja_temp_cell"></td></tr>
</thead>
<tbody>

        <tr data-row_id="250" class="ninja_table_row_0 nt_row_id_250">
            <td><b>Exam</td><td>$15 copay</td>        </tr>
            <tr data-row_id="251" class="ninja_table_row_1 nt_row_id_251">
            <td><b>Materials Copay</td><td>None</td>        </tr>
            <tr data-row_id="252" class="ninja_table_row_2 nt_row_id_252">
            <td><b>Frequency</b><br>Exams<br>Lenses<br>Frames<br></td><td><br>12 months<br>12 months<br>12 months<br></td>        </tr>
            <tr data-row_id="262" class="ninja_table_row_3 nt_row_id_262">
            <td><b>Frame Retail Allowance</td><td>$130 allowance, then 30% off any remaining balance</td>        </tr>
            <tr data-row_id="253" class="ninja_table_row_4 nt_row_id_253">
            <td><b>Lenses</b><br>Single vision lenses<br>Bifocal lenses<br>Trifocal lenses<br>Lenticular lenses<br>Standard progressive lenses</td><td><br>$0 copay, then covered in full<br>$0 copay, then covered in full<br>$0 copay, then covered in full<br>$0 copay, then covered in full<br>Tier 1 — $55, applicable bifocal copay</td>        </tr>
            <tr data-row_id="257" class="ninja_table_row_5 nt_row_id_257">
            <td><b>Medically Necessary Contact Lenses</b></td><td>100%</td>        </tr>
            <tr data-row_id="258" class="ninja_table_row_6 nt_row_id_258">
            <td><b>Elective Contact Lenses</b></td><td>$130 allowance</td>        </tr>
            <tr data-row_id="260" class="ninja_table_row_7 nt_row_id_260">
            <td colspan="2"><b>Out-of-Network:</b> For coverage details refer to the <a href="https//www.owens-minor.mybenefitport.com/documents"><span style="color: #872434;"><b>Documents Library</a></td><td class="ninja_temp_cell" data-colspan="#colspan#"></td>        </tr>
    </tbody><!--ninja_tobody_rendering_done-->
