Vision Benefits

Getting your eyes checked regularly is important even if you don’t wear glasses or contacts. We provide quality vision care for you and your family through VSP.

Vision Benefits

Premiums

Coverage Tier	Enhanced Advantage Base Plan	Enhanced Advantage Buy-Up Plan
Employee Only	$0.97	$2.14
Employee + Spouse	$1.95	$3.73
Employee + Child(ren)	$2.09	$3.99
Employee + Family	$3.34	$6.37

Employee Only

Enhanced Advantage Base Plan: $0.97
Enhanced Advantage Buy-Up Plan: $2.14

Employee + Spouse

Enhanced Advantage Base Plan: $1.95
Enhanced Advantage Buy-Up Plan: $3.73

Employee + Child(ren)

Enhanced Advantage Base Plan: $2.09
Enhanced Advantage Buy-Up Plan: $3.99

Employee + Family

Enhanced Advantage Base Plan: $3.34
Enhanced Advantage Buy-Up Plan: $6.37

Benefit Frequency

Service	Base Plan	Buy-Up
Eye Exam	Calendar year	Calendar year
Lenses	Calendar year	Calendar year
Frames	Calendar year	Calendar year
Contacts	Calendar year	Calendar year

Eye Exam

Base Plan: Calendar year
Buy-Up: Calendar year

Lenses

Base Plan: Calendar year
Buy-Up: Calendar year

Frames

Base Plan: Calendar year
Buy-Up: Calendar year

Contacts

Base Plan: Calendar year
Buy-Up: Calendar year

Coverage Detail

Service	Base Plan In-Network	Base Plan Out-of-Network	Buy-Up Plan In-Network	Buy-Up Plan Out-of-Network
Exams – Copay	$10	Up to $50	$10	Up to $50
Single Vision Lenses	$10	Up to $50	$10	Up to $50
Bifocal Lenses	$10	Up to $75	$10	Up to $75
Trifocal Lenses	$10	Up to $100	$10	Up to $100
Progressive Lenses**	$10	Up to $75	$50	Up to $75
Frames – Copay	$150 allowance, 20% off balance	Up to $70	$150 allowance, 20% off balance	Up to $70
Contacts* (Medically Necessary)	$150 allowance for contacts; 15% off contact lens exam, not to exceed $60	Up to $105	$150 allowance for contacts; 15% off contact lens exam, not to exceed $60	Up to $105

Exams – Copay

Base Plan In-Network: $10
Base Plan Out-of-Network: Up to $50
Buy-Up Plan In-Network: $10
Buy-Up Plan Out-of-Network: Up to $50

Single Vision Lenses

Base Plan In-Network: $10
Base Plan Out-of-Network: Up to $50
Buy-Up Plan In-Network: $10
Buy-Up Plan Out-of-Network: Up to $50

Bifocal Lenses

Base Plan In-Network: $10
Base Plan Out-of-Network: Up to $75
Buy-Up Plan In-Network: $10
Buy-Up Plan Out-of-Network: Up to $75

Trifocal Lenses

Base Plan In-Network: $10
Base Plan Out-of-Network: Up to $100
Buy-Up Plan In-Network: $10
Buy-Up Plan Out-of-Network: Up to $100

Progressive Lenses**

Base Plan In-Network: $10
Base Plan Out-of-Network: Up to $75
Buy-Up Plan In-Network: $50
Buy-Up Plan Out-of-Network: Up to $75

Frames – Copay

Base Plan In-Network: $150 allowance, 20% off balance
Base Plan Out-of-Network: Up to $70
Buy-Up Plan In-Network: $150 allowance, 20% off balance
Buy-Up Plan Out-of-Network: Up to $70

Contacts* (Medically Necessary)

Base Plan In-Network: $150 allowance for contacts; 15% off contact lens exam, not to exceed $60
Base Plan Out-of-Network: Up to $105
Buy-Up Plan In-Network: $150 allowance for contacts; 15% off contact lens exam, not to exceed $60
Buy-Up Plan Out-of-Network: Up to $105

*Fitting and Evaluation fee applied to contact lens allowance

**Enhanced Advantage Base Plan covers Standard Progressive lenses only. Enhanced Advantage Buy-Up Plan covers all Progressive lenses

Plan Notes

VSP LightCare is available for both Enhanced Advantage Plans. With VSP LightCare, you can use your frame and lens benefit to get non-prescription eyewear from your VSP network doctor.
Vision premium contributions are deducted from your paycheck on a pre-tax basis. Your tier of coverage determines your biweekly premium.
Each covered member receives an additional pair of eyewear per year. This means two frames, two contacts, OR one frame and one contacts.
Early detection of vision conditions like diabetic retinopathy leads to more effective treatment and cost savings.