VISION We offer two vision plans administered by VSP. Both vision plans pay 100% for an annual eye exam. Both plans include allowances for contact lenses and coverage for retinal imaging. As with dental coverage, you’ll save the most money and time if you see an in-network VSP provider.
VISION BENEFITS
STANDARD PLAN
MAXIMUM PLAN
EYE EXAM One exam per calendar year
Plan pays 100%*
Plan pays 100%*
EYEGLASS LENSES**
$0 copay — NEW enhancement!
$25 copay
Polycarbonate lenses (children only)
Polycarbonate lenses (adults and children)
Single vision, lined bifocal and lined trifocal lenses
Anti-reflective coating
Standard progressive lenses
All progressive lenses
One pair each calendar year
One pair each calendar year; $210 annual allowance — NEW enhancement! *
FRAMES*
No coverage
CONTACT LENSES*
Allowance for contact lenses and contact lens exam (fitting and evaluation) 15% savings on exam fees (up to $60 copay) Each calendar year RETINAL IMAGING ESSENTIAL MEDICAL EYE CARE Additional exams and services beyond routine care to treat immediate issues from pink eye to sudden changes in vision or to monitor ongoing conditions, such as dry eye, diabetic eye disease, glaucoma and more
$210 annual allowance — NEW enhancement! *
$150 annual allowance*
$0 copay — NEW enhancement!
$10 copay
$20 copay**
$20 copay**
YOUR WEEKLY PAYROLL DEDUCTION
STANDARD PLAN
MAXIMUM PLAN
ASSOCIATE ONLY
$2.55
$5.25
ASSOCIATE + SPOUSE ASSOCIATE + CHILD(REN)
$2.85
$6.20
$3.00
$6.40
FAMILY
$4.70
$9.75
* You may obtain contacts or eyeglasses every year (but not both in the same year). **See Summary Plan Description (SPD) for further details.
VISION ENHANCEMENTS TO THE MAXIMUM PLAN ONLY: • $0 materials copay • Increased frames and lens allowance to $210 • $0 retinal imaging copay
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