Vision Benefits

Vision insurance offers coverage for the routine care of your eyes and may provide coverage for eyeglasses and contact lenses. Your plan will pay for these services based upon the schedule below. Be sure to check your plan certificate for details.

Keep in mind that your costs will generally be lower if you choose an in-network eye-doctor. To find an in-network eye-doctor, please visit www.vsp.com.

	In-Network	Frequency
Exam Copay/Materials Copay	$15 / $15	1x per 12 month period
Lenses
Single	Covered in Full after Copay	1x per 12 month period
Bifocal	Covered in Full after Copay	1x per 12 month period
Trifocal	Covered in Full after Copay	1x per 12 month period
Lenticular	Covered in Full after Copay	1x per 12 month period
Frames	Up to $150 allowance	1x per 24 month period
Contact Lenses (in lieu of glasses) Elective Medically Necessary	Up to $150 allowance Covered in Full after Copay	1x per 12 month period

	Per 26 Pay Period Cost
Employee Only	$0.00
Employee + Spouse	$3.72
Employee + Child(ren)	$4.25
Family	$9.00

Downloads

Summary of Benefits

Provided By

Reliance Standard using VSP Network

Provider Website

https://www.vsp.com/

Customer Service

800.877.7195