2017 SDNHM Employee Benefits Guide

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Vision
Routine vision exams are important, not only for correcting vision but because they can detect other health
conditions. San Diego Natural History Museum offers you a vision plan through Vision Service Plan (VSP).
As with a traditional PPO, you may take advantage of the highest level of benefit by receiving services from
in-network vision providers and doctors. You would be responsible for a copayment at the time of your service.
However, if you receive services from an out-of-network doctor, you pay all expenses at the time of service and
submit a claim for reimbursement up to the allowed amount.
VSP Vision Plan
In-Network Out-Of-Network
Routine Exam $20 Copay Reimbursement up to $45
Materials (Including Frames) $20 Copay
Varies
(see below)
Exam Schedule Frequency 1 x every 12 months
Standard Lenses Reimbursement:
Single Vision Lens Covered in full after Copay Up to $30
Bifocal Lens Covered in full after Copay Up to $50
Trifocal Lens Covered in full after Copay Up to $65
Frequency 1 x every 12 months
Frames Allowance: Reimbursement:
Standard Frames Up to $130 Up to $70
Featured Frames Up to $150 Up to $70
Frequency 1 x every 24 months
Contacts (Elective)
In lieu of glasses
Allowance: Reimbursement:
Benefit Up to $130;
Up to $60 copay for fitting/ evaluation
Up to $105
Frequency 1 x every 12 months
Need to Find a VSP Doctor?
1. Log ont
2. In the “FIND A VSP DOCTOR” box on the right side of the web page enter your zip code
3. Under “Doctor Network” use the drop down to select “Choice”
Did You Know?
• As a VSP member, you can now access an in-network experience at Costco.
• Please refer to the VSP customer care for more details at 800-877-7195.