Vision Benefits
Vision insurance offers coverage for the routine care of your eyes and may provide coverage for eyeglasses and contact lenses. Your plan will pay for these services based upon the schedule below. Be sure to check your plan certificate for details.
Keep in mind that your costs will generally be lower if you choose an in-network eye-doctor. To find an in-network eye-doctor, please visit www.vsp.com.
In-Network |
Out-of-Network |
Frequency |
|
|---|---|---|---|
Eye Exam |
$10 Copay |
Up to $52 |
Every 12 months |
Standard Plastic Lenses |
Every 24 months |
||
Single |
$25 Copay |
Up to $55 |
|
Bifocal |
$25 Copay |
Up to $75 |
|
Trifocal |
$25 Copay |
Up to $95 |
|
Lenticular |
$25 Copay |
Up to $125 |
|
Frames |
$130 allowance |
Up to $57 |
Every 12 months |
Contact Lenses |
$130 allowance |
Up to $105 |
Every 12 months |
Per Pay Period Cost |
|
|---|---|
Employee |
$3.91 |
Employee + Spouse |
$8.16 |
Employee + Child(ren) |
$8.42 |
Family |
$13.80 |