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 Signature

Benefit Highlights
In-Network

Exams
$10

Single Vision Lenses
Combined with exam

Bifocal Lenses
Combined with exam

Trifocal Lenses
Combined with exam

Frames
80% of balance over $300

Contacts (in lieu of glasses)
Balance over $300 (copay waived)

Frequency

Exams
Once every 12 months

Lenses
Once every 12 months

Frames
Once every 12 months

Contacts
Once every 12 months

Out-of-Network Reimbursement

Exams
Up to $45

Single Vision Lenses
Up to $45

Bifocal Lenses
Up to $65

Trifocal Lenses
Up to $85

Frames
Up to $47

Contacts (in lieu of glasses)
Up to $105

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

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