Vision Coverage

Quick Links:
» Resources
» Exam
» Lenses
» Frames
» Contact Lenses
» Contact Lens Fitting & Evaluation
» Laser Vision Correction
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Resources

Video: Enhanced
Video: Standard
Out of Network Claim Form: Click Here
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Monthly Rates
(for Active Employees)

Enhanced        Standard          Coverage Level
7.74    6.28    Employee Only
14.54    11.78    Employee & Spouse
14.96    12.10    Employee & Child
14.96    12.10    Employee & Children
26.18    21.20    Employee, Spouse & Child
26.18    21.20    Employee, Spouse & Children
» Premium Rates for all Coverage Lines: Click Here
» Contact Us for Retiree, COBRA or Disability COBRA Rates
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Exam

$10 Co-Pay
» Professional Eye Exam
» Enhanced - Once Every 12-months at a VSP Provider
» Standard - Once Every 12-months at a VSP Provider
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Lenses

1 Set of Lenses Once Every 12-months
Choose From:
» $25 Co-Pay for 1 Set of Single Vision, Lined Bifocal or Lined Trifocal Lenses
» $50 Co-Pay for Standard Progressive (No-Line) Lenses
» $80 - $90 Co-Pay for Premium Progressive (No-Line) Lenses
» $120 - $160 Co-Pay for Custom Progressive (No-Line) Lenses
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Frames

$120 Frames Allowance
» Enhanced - 1 Set of Frames Once Every 12-months
» Standard - 1 Set of Frames Once Every 24-months
» Receive a 20% Discount on Amounts Above Your Allowance
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Contact Lenses (Instead of Glasses)

$120 Allowance
» Every 12-months
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Contact Lens Fitting & Evaluation

» Enhanced - Every 12-months - Pay a $60 Co-Pay
» Standard - Every 12-months - Receive a 15% Discount, Amounts Paid Reduce the Contact Lens Allowance
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Laser Vision Correction

» Discounts also available on laser vision correction (LASIKs)
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