Overview |
This benefit helps pay for annual vision examinations and for glasses and contact lenses, subject to the rules of the Plan. The Plan uses a network of opticians, optometrists, and ophthalmologists called Vision Service Plan (VSP) to provide these benefits in an efficient and cost-effective way. Reduced benefits are available when you use a provider outside the VSP network. How often you can use the benefit and your copayment are shown in the benefit schedules below. |
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Eligibility |
The Vision Care Benefit is available to all active employees and their covered dependents, as well as retirees who have chosen dental and vision coverage. |
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Summary of Benefits |
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VSP DOCTOR
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OUT-OF-NETWORK
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VISION EXAM-Every calendar year
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Covered in full
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Up to $35
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FRAME-Every two calendar years
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Covered up to $115 retail value
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Up to $35
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LENSES- Every calendar year:
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Single vision
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Covered in full
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Up to $30/pair
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Lined bifocal
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Covered in full
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Up to $40/pair
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Lined trifocal
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Covered in full
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Up to $55/pair
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Contacts
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Covered up to $100/pair for exam, fitting, evaluation and lenses
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Up to $100/pair for exam, fitting, evaluation and lenses
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