SCA New Hire Benefit Overview

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P A G E 4 B E N E F I T O V E R V I E W
MBA CSi provides vision benefits through Vision Service Plan (VSP).
VSP offers a national network consisting of optometrists, ophthalmolo-
gists and opticians.
To find a provider, go to and
utilize the “Find a Doctor” feature for a list of network providers clos-
est to you. When you select your network make sure you select “VSP
signature”
See chart below for additional benefit details.
Vision Benefits
Benefit Description Copay Frequency
Coverage with a VSP Provider
WellVision Exam $10 Every 12 months
Prescription Glasses $25
See frame and
lenses
Frame
$130 allowance for a wide selection of
frames
Included in Prescription Glasses Every 12 months $150 allowance for featured frame brands
20% savings on the amount over your allow-
ance
Included in Prescription Glasses Every 12 months Lenses
Single vision, lined bifocal, and lined trifocal
lenses
Polycarbonate lenses for dependent children
Lens Enhancements Standard progressive lenses $55
Every 12 months
Premium progressive lenses $95 - $105
Custom progressive lenses $150 - $175
Contacts (instead of glass-
es)
$130 allowance for contacts; copay does not
apply
up to $60 Every 12 months
Contact lens exam (fitting and evaluation)
Tier
Semi-Monthly
Deduction
Employee Only $4.18
Employee + 1 Dependent $6.38
Employee + 2 or More Dependents $11.43