VISION INSURANCE
Gracepoint offers vision coverage through VSP. The VSP vision network consists of optometrists, ophthalmologist opticians and optical retailers. You have the option of visiting any provider, however by choosing a participating provider, you receive the highest level of benefits.
Vision VSP Network
In-Network
Out-of-Network
Routine Eye Exams
$10 Copayment
Reimbursed up to $35
Reimbursed from $25 to $45 Depending on type of lenses
Lenses *
$25 Copayment
Frames
$130 allowance
$120 allowance
Contact Lenses
$130 allowance
Reimbursed up to $105
Frequency Exam
Once every 12 months Once every 12 months
Lenses or contact lenses
Frame
Once every 24 months
• Covered lenses include single vision, bifocal, trifocal and lenticular.
• Lenses, Frames & Contacts are limited to either one pair of contacts or frames/lenses per calendar year.
Employee Cost Per Pay Period
Employee Only
$ 4.40 $ 7.04 $ 7.18 $11.58
Employee + Spouse Employee + Child(ren)
Family
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