Vision care benefits are provided through Vision Service Plan (VSP). Vision care professionals in the VSP Signature Network provide eye exams, lenses, frames, and contact lenses at special rates.
The chart below shows how common treatments and services are covered under the vision plan. For additional details about the vision plan including what is excluded, see the documents listed at the bottom of this page.
|WellVision Exam||Focuses on your eyes and overall wellness||$10||Every 12 months|
|Prescription Glasses||$25||See frame and lenses|
20% off amount over your allowance
|Included in prescription glasses||Every 24 months|
|Lenses||Single vision, lined bifocal and lined trifocal lenses
Polycarbonate lenses for dependent children
|Included in prescription glasses||Every 12 months|
|Lens Options||Standard progressive lenses
Premium progressive lenses
Custom progressive lenses
Average 30-45% off other lens options
|Every 12 months|
|Contacts (instead of glasses)||$130 allowance for contacts and contact lens exam (fitting and evaluation)
15% off contact lens exam (fitting and evaluation)
If you choose contact lenses you will be eligible for a frame 12 months from the date the contact lenses were obtained.
|$0||Every 12 months|
You may elect to cover yourself only or yourself and any eligible dependents. Below is the cost per paycheck. Any premiums paid by you—other than for domestic partner coverage—are on a pretax basis.
|VISION COVERAGE LEVEL||VSP PLAN|
|You + spouse/domestic partner||$4.62|
|You + children||$3.69|
|You + spouse/domestic partner + up to 2 children||$6.93|
|You + spouse/domestic partner + 3 or more children||$8.31|
* You must generally pay for coverage of a domestic partner and a domestic partner's children on a post-tax basis, and the value of the Company subsidy, if any, must generally be included in your taxable income. This is called "imputed income." Contact your tax advisor for more information.
Visit vsp.com for more details on your vision benefit and for exclusive savings and promotions for VSP members. You may register to view your policy information, submit an out-of-network claim, check the status of a claim, or gain access to your enrollment information and print out an I.D. card.
Review the Benefits Highlights for more information.
Review the Evidence of Coverage for vision plan details.