Vision
Healthy eyes and clear vision are an important part of your overall health and quality of life. You may enroll yourself and your eligible dependents or you may waive vision coverage. You do not have to be enrolled in medical coverage to elect vision coverage or cover the same dependents under medical and vision.
Although vision care services and supplies are covered in-network and out-of-network, your benefits are generally greater when you use in-network providers. Your costs are based on the family members you choose to cover.
VSP Vision
Benefit Highlights
In-Network
Exams
$10 copay
Single Vision Lenses
$25 copay
Bifocal Lenses
$25 copay
Trifocal Lenses
$25 copay
Frames
Coverage limited to $150
Contacts (in lieu of glasses)
Coverage limited to $150
Frequency
Exams
Every calendar year
Lenses
Every calendar year
Frames
Every calendar year
Contacts
Every calendar year
Out-of-Network Reimbursement
Exams
Up to $50 reimbursement
Single Vision Lenses
Up to $50 reimbursement
Bifocal Lenses
Up to $75 reimbursement
Trifocal Lenses
Up to $100 reimbursement
Frames
Up to $70 reimbursement
Contacts (in lieu of glasses)
Up to $105 reimbursement
Frequency
Exams
Every calendar year
Lenses
Every calendar year
Frames
Every calendar year
Contacts
Every calendar year
Per-Pay-Period Plan Cost (Combined With Cigna Dental Base)
Employee Only: $0.00
Employee + Spouse/DP: $12.47
Employee + Child(ren): $14.87
Employee + Family: $26.64
Per-Pay-Period Plan Cost (Combined With Cigna Dental Buy-Up)
Employee Only: $7.62
Employee + Spouse/DP: $21.41
Employee + Child(ren): $25.03
Employee + Family: $41.95