Vision
Our Vision Plan is provided by VSP Vision Care as a Preferred Provider Organization (PPO) plan. With this traditional PPO plan, you can enjoy the highest level of benefits by receiving services from in-network vision providers. You will only be responsible for copayment at the time of your service. However, if you opt for an out-of-network doctor, you will need to pay for all expenses at the time of service and then submit a claim for reimbursement up to the allowed amount.
To find an in-network provider, print your ID card, view your benefits, or create an account, please visit:
VSP Member Services: 1-800-877-7195
Vision Premiums
Premiums by Coverage Level
|
Coverage Level |
Employee Payroll Deduction |
|---|---|
| VSP Vision Plan | Monthly |
| Employee Only | $7.14 |
| Employee and Spouse/Domestic Partner | $12.82 |
| Employee and Child(ren) | $13.58 |
| Employee and Family | $20.34 |
VSP Vision Pro Plan Highlights
| Plan Highlights | In-Network | Out-of-Network Reimbursement |
|---|---|---|
| Exam – Once every plan year | $10 | Up to $45 |
| Lenses – Every 12 months | $25 | See Below |
|
Single |
100% after copay | Up to $40 |
|
Bifocal |
100% after copay | Up to $60 |
|
Trifocal |
100% after copay | Up to $80 |
| Frames – Every 12 months | $175 allowance + 20% off | Up to $50 |
| Contacts – Every 12 months, in lieu of lenses & frames | n/a | n/a |
|
Medically Necessary |
100% | Up to $210 |
|
Cosmetic |
$175 allowance | Up to $150 |