VISION
PLAN OVERVIEW
|
|
|
| IN-NETWORK COVERAGE | |
| Eye Exam | $20 |
| Standard Lenses (one pair every plan year) |
$0 copay for standard lenses |
| Standard Frames (one pair every other plan year) |
80% of cost after $200 frame allowance |
| Contact Lenses (instead of glasses) |
$60 copay; any cost after $200 allowance |
| EMPLOYEE BI-WEEKLY CONTRIBUTIONS | |
| FTE 0.5-1.0 |
|
| Employee Only | |
| Employee + Spouse | |
| Employee + Child(ren) | |
| Employee + Family | |
BENEFIT SUMMARY
VSP Choice
Benefits summary for your vision plan, demonstrating how much you will pay for dental services.
Download