vision coverage highlights
Vision coverage highlights
- You enroll in vision separately from medical coverage and dental coverage.
- Coverage is offered through VSP to help pay for routine vision services and supplies.
- When you use a VSP network provider, you will pay less than if you use a provider not in the VSP network.
| In Network | Out of Network | |
|---|---|---|
| Eye exam (once every calendar year) | Covered 100% after $15 copay | Up to $35 allowance |
| Eyeglass lenses (once every calendar year) |
||
| Single vision | Covered 100% after $15 copay | Up to $25 allowance |
| Lined bifocal | Covered 100% after $15 copay | Up to $40 allowance |
| Lined trifocal | Covered 100% after $15 copay | Up to $45 allowance |
| Eyeglass frames (every other calendar year) | Up to $130 allowance | Up to $45 allowance |
| Contact lenses (once every calendar year, in lieu of eyeglass lenses and frames) | Up to $130 allowance | Up to $105 allowance |
| Filing a claim | Your VSP provider will submit your claim for you | You pay upfront and are reimbursed after filing your claim |
