Vision
Healthy eyes and clear vision are an important part of your overall health and quality of life. You may enroll yourself and your eligible dependents or you may waive vision coverage. You do not have to be enrolled in medical coverage to elect vision coverage or cover the same dependents under medical and vision.
Although vision care services and supplies are covered in-network and out-of-network, your benefits are generally greater when you use in-network providers. Your costs are based on the family members you choose to cover.
VSP Vision
Benefit Highlights
In-Network
Exams
$20 copay
Single Vision Lenses
$0
Bifocal Lenses
$0
Trifocal Lenses
$0
Frames
$130 allowance + 20% of remaining balance
Contacts (in lieu of glasses)
$130 allowance
Frequency
Exams
Once every calendar year
Lenses
Once every calendar year
Frames
Once every other calendar year
Contacts
Once every other calendar year
Out-of-Network Reimbursement
Exams
$20 copay, up to $55 reimbursement
Single Vision Lenses
Up to $50 reimbursement
Bifocal Lenses
Up to $75 reimbursement
Trifocal Lenses
Up to $100 reimbursement
Frames
Up to $70 reimbursement
Contacts (in lieu of glasses)
Up to $105 reimbursement
Frequency
Exams
Once every calendar year
Lenses
Once every calendar year
Frames
Once every other calendar year
Contacts
Once every other calendar year
Plan Cost
Employee Only: $2.00
Employee and Spouse: $5.00
Employee and Child(ren): $5.00
Employee and Family: $10.00