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 has the largest network of vision care providers, including Walmart, Sam’s Club and Costco. Visit www.vsp.com to search for participating providers.

VSP Vision Plan

Benefit Highlights
In-Network Reimbursement

Exams
$10

Materials
$25

Single Vision Lenses
$0

Bifocal Lenses
$0

Trifocal Lenses
$0

Frames
Up to $150

Contacts (in lieu of glasses)
Up to $105

Frequency

Exams
Every calendar year

Lenses
Every calendar year

Frames
Every other calendar year

Contacts
Every calendar year

Out-of-Network Reimbursement

Exams
Up to $45

Materials
N/A

Single Vision Lenses
Up to $30

Bifocal Lenses
Up to $50

Trifocal Lenses
Up to $65

Frames
Up to $105

Contacts (in lieu of glasses)
Up to $105

Frequency

Exams
Every calendar year

Lenses
Every calendar year

Frames
Every other calendar year

Contacts
Every calendar year

Plan Cost
Monthly Cost

Team Member Only: $6.00

Team Member and 1 Dependent: $10.00

Team Member and Family: $15.00

Bi-Weekly Cost

Team Member Only: $3.00

Team Member and 1 Dependent: $5.00

Team Member and Family: $7.50

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