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Vision
Routine vision exams are important, not only for correcting vision but because they can detect other serious health
conditions.
We offer you a vision plan through Vision Service Plan.
VSP Vision
In-Network
Out-Of-Network
Examination
$10 copay
$10 copay
Benefit
No charge after applicable copay
Reimbursed up to $45
Frequency
12 months
12 months
Materials
$25 copay
$25 copay
Eyeglass Lenses
Single Vision Lens
No charge after applicable copay
Reimbursed up to $30
Bifocal Lens
No charge after applicable copay
Reimbursed up to $50
Trifocal Lens
No charge after applicable copay
Reimbursed up to $65
Frequency
12 months
12 months
Frames
Benefit
Coverage limited to $150 for featured
brands, $130 for all other brands
Reimbursed up to $70
Frequency
24 months
24 months
Contacts (Elective)
Benefit
Coverage limited to $130
Coverage limited to $105
Frequency
12 months (In lieu of lenses and frames)
12 months (In lieu of lenses and frames)