Vision Benefits
Comprehensive vision care coverage and eyewear benefits through VSP.
Vision Benefits
Premiums - Bi weekly
| Coverage | Core VSP Plan | Enhanced VSP Plan |
|---|---|---|
| Employee Only | $3.90 | $8.98 |
| Employee + Spouse | $7.81 | $17.96 |
| Employee + Children | $8.36 | $19.22 |
| Family | $13.32 | $30.65 |
Employee Only
Core VSP Plan$3.90
Enhanced VSP Plan$8.98
Employee + Spouse
Core VSP Plan$7.81
Enhanced VSP Plan$17.96
Employee + Children
Core VSP Plan$8.36
Enhanced VSP Plan$19.22
Family
Core VSP Plan$13.32
Enhanced VSP Plan$30.65
Benefit Frequency
| Coverage | Core VSP Plan | Enhanced VSP Plan |
|---|---|---|
| Eye Exam | Every 12 months | Every 12 months |
| Lenses | Every 12 months | Every 12 months |
| Frames | Every 24 months | Every 12 months |
| Contact Lenses | Every 12 months | Every 12 months |
Eye Exam
Core VSP PlanEvery 12 months
Enhanced VSP PlanEvery 12 months
Lenses
Core VSP PlanEvery 12 months
Enhanced VSP PlanEvery 12 months
Frames
Core VSP PlanEvery 24 months
Enhanced VSP PlanEvery 12 months
Contact Lenses
Core VSP PlanEvery 12 months
Enhanced VSP PlanEvery 12 months
In-Network Coverage
| Coverage | Core VSP Plan | Enhanced VSP Plan |
|---|---|---|
| Examination | $10 copay | $10 copay |
| Bifocal Lenses | $15 copay | $15 copay |
| Elective Contact Lenses | $150 allowance | $200 allowance |
| Necessary Contact Lenses | 100% covered | 100% covered |
Examination
Core VSP Plan$10 copay
Enhanced VSP Plan$10 copay
Bifocal Lenses
Core VSP Plan$15 copay
Enhanced VSP Plan$15 copay
Elective Contact Lenses
Core VSP Plan$150 allowance
Enhanced VSP Plan$200 allowance
Necessary Contact Lenses
Core VSP Plan100% covered
Enhanced VSP Plan100% covered
Out-of-Network Reimbursement
| Coverage | Core VSP Plan | Enhanced VSP Plan |
|---|---|---|
| Examination | Up to $45 | Up to $45 |
| Single Vision Lenses | Up to $30 | Up to $30 |
| Bifocal Lenses | Up to $50 | Up to $50 |
| Trifocal Lenses | Up to $65 | Up to $65 |
| Elective Contact Lenses | Up to $105 | Up to $105 |
| Necessary Contact Lenses | Up to $210 | Up to $210 |
Examination
Core VSP PlanUp to $45
Enhanced VSP PlanUp to $45
Single Vision Lenses
Core VSP PlanUp to $30
Enhanced VSP PlanUp to $30
Bifocal Lenses
Core VSP PlanUp to $50
Enhanced VSP PlanUp to $50
Trifocal Lenses
Core VSP PlanUp to $65
Enhanced VSP PlanUp to $65
Elective Contact Lenses
Core VSP PlanUp to $105
Enhanced VSP PlanUp to $105
Necessary Contact Lenses
Core VSP PlanUp to $210
Enhanced VSP PlanUp to $210
Core VSP
| Detail | Information |
|---|---|
| Eligible | Associates can elect dental and/or vision regardless of medical enrollment status |
| Frames frequency | Every 24 months |
Eligible
InformationAssociates can elect dental and/or vision regardless of medical enrollment status
Frames frequency
InformationEvery 24 months
Enhanced VSP
| Detail | Information |
|---|---|
| Frames frequency | Every 12 months |
| Frame allowance | $200 (vs $130 Core); higher contact lens allowance ($200 vs $150) |
| Included services | Anti-reflective coating, Adult Polycarbonate, Light Care, Some Feature Frames +$50 (ex: Nike, Kendra Scott, Calvin Klein) |
Frames frequency
InformationEvery 12 months
Frame allowance
Information$200 (vs $130 Core); higher contact lens allowance ($200 vs $150)
Included services
InformationAnti-reflective coating, Adult Polycarbonate, Light Care, Some Feature Frames +$50 (ex: Nike, Kendra Scott, Calvin Klein)
VSP Vision Service Plan
Group: 30085963
