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 Base Plan
Benefit Highlights
In-Network
Exams
$20
Single Vision Lenses
$25
Bifocal Lenses
$25
Trifocal Lenses
$25
Frames
80% of the amount over allowance:
$130 frame allowance
$150 Featured Frame Brands allowance
$130 Walmart/Sam’s Club frame allowance
$70 Costco frame allowance
Contacts (in lieu of glasses)
Balance over $130 allowance
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Plan Cost
Employee Only: $XX
Employee and Spouse: $XX
Employee and Child(ren): $XX
Employee and Family: $XX
VSP Buy Up Plan
Benefit Highlights
In-Network
Exams
$10
Single Vision Lenses
$10
Bifocal Lenses
$10
Trifocal Lenses
$10
Frames
80% of the amount over allowance:
$210 frame allowance
$230 Featured Frame Brands allowance
$210 Walmart/Sam’s Club frame allowance
$115 Costco frame allowance
Contacts (in lieu of glasses)
Balance over $210 allowance
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months
Plan Cost
Employee Only: $XX
Employee and Spouse: $XX
Employee and Child(ren): $XX
Employee and Family: $XX