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
$10 copay

Material Copay
$25

Single Vision Lenses
No charge after applicable copay

Bifocal Lenses
No charge after applicable copay

Trifocal Lenses
No charge after applicable copay

Frames
Coverage limited to $130 + 20% off out-of-pocket costs  

Contacts (in lieu of glasses)
Coverage limited to $130  

Frequency

Exams
Once every 12 months

Lenses
Once every 12 months

Frames
Once every 24 months

Contacts (In lieu of glasses)
Once every 12 months

Out-of-Network Reimbursement

Exams
Up to $45 reimbursement 

Single Vision Lenses
Up to $30 reimbursement 

Bifocal Lenses
Up to $50 reimbursement 

Trifocal Lenses
Up to $65 reimbursement 

Frames
Up to $70 reimbursement 

Contacts (in lieu of glasses)
Up to $105 reimbursement

Frequency

Exams
Once every 12 months

Lenses
Once every 12 months

Frames
Once every 24 months

Contacts (In lieu of glasses)
Once every 12 months

Bi-Weekly Plan Cost

Employee Only:  $0.00 

Employee and Spouse/DP:  $0.58  

Employee and Child(ren):  $0.66 

Employee and Family:  $1.47

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