The vision plan covers you and your covered dependents for routine eye exams, frames and lenses or contacts. You can choose to visit any provider; however, you will save money when you visit an in-network provider.
Keep your vision clear and your eyes in good health with regular eye exams. The vision plan, through VSP, offers an extensive network of optometrists and vision care specialists.
| Plan Features | VSP Vision Plan |
|---|---|
| In-Network | |
| You pay: | |
| Exam every 12 months | $10 copay |
| Prescription Glasses | $25 copay |
| Frames every 12 months | 20% on amount above $200 allowance after the prescription glasses copay |
| Lenses every 12 months Single vision, lined bifocal, lined trifocal |
Included in prescription glasses copay |
| Lens Options Standard progressive Tints/light reactive Premium progressive Custom progressive Other lens enhancements |
$0 $0 $80 – $90 $120 – $160 Average savings of 40% |
| Contact Lenses every 12 months (instead of lenses and frames) | Any costs above the $130 allowance; Maximum $60 copay for exam |
| Primary EyeCare (as needed) |
Retinal screening for members with diabetes: $0 Additional exams and services for members with diabetes, glaucoma or age-related macular degeneration and treatment of eye conditions: $20 copay |
See the benefit summaries for detailed information.
