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
$20
Bifocal Lenses
$20
Trifocal Lenses
$20
Frames
Coverage limited to $175 then plan pays 20% off of amount over allowance
$96 Walmart®/Sam’s Club®/Costco® frame allowance
Contacts (in lieu of glasses)
Coverage limited to $150; you pay up to $60 for contact lens fitting/exam and any amount over allowance.
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Out-of-Network
Exams
Reimbursed up to $50
Single Vision Lenses
Reimbursed up to $50
Bifocal Lenses
Reimbursed up to $75
Trifocal Lenses
Reimbursed up to $100
Frames
Reimbursed up to $70
Contacts (in lieu of glasses)
Reimbursed up to $105
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Per Pay Period Plan Cost
Employee Only: $0.50
Employee and Spouse/DP: $1.50
Employee and Child(ren): $1.50
Employee and Family: $2.50