Vision Coverage
You can help protect your eyesight by visiting an eye doctor regularly. Vision insurance includes an annual comprehensive eye exam with an eye care doctor. Taking care of your eyes today can lead to a better quality of life later. Seeing an in-network eye care provider can reduce your expenses with savings on frames, lenses, contacts, eye exams and more. You can find vision providers at vsp.com/eye-doctor
Insurance Carrier:
Sun Life Vision Insurance
Plan Type:
VSP
In-Network
Out-of-Network
Exam Copay
$0 Copay
Up to $45
Lenses - Single lined
$10 Copay
Up to $30
Lenses - Bifocal lined
$10 Copay
Up to $50
Lenses - Trifocal
$10 Copay
Up to $60
Lenses - Lenticular
$10 Copay
Up to $100
Frames
$ 130 Allowance; then 20% off remaining balance
Up to $70
Elective Contact Lenses (in place of lenses & frame) Medically Necessary Contacts
$130 Allowance
Up to $105
$10 Copay
Up to $210
Frequency for Exam / Lenses / Frames
12 months / 12 months / 12 months
Employee Semi-Monthly Deduction Employee Only
$5.15
Employee + Spouse
$10.34
Employee + Child(ren)
$8.75
Family
$14.44
9 THE GARDENS AT CALVARY 2023 BENEFITS GUIDE
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