VISION INSURANCE
VISION PLAN INFORMATION
65%+ FTE FACULTY 75%+ FTE STAFF
ELIGIBILITY
PLAN INFORMATION
VISION CARE SERVICES
OUT OF NETWORK REIMBURSEMENT
IN NETWORK MEMBER COST
$25 COPAY $150 FRAME ALLOWANCE 20% OFF BALANCE OVER ALLOWANCE $80 WALMART®/SAM’S CLUB®/COSTCO® FRAME ALLOWANCE
FRAMES (EVERY OTHER CALENDAR YEAR)
UP TO $70
SINGLE VISION BIFOCAL TRIFOCAL IMPACT-RESISTANT LENSES FOR DEPENDENT CHILDREN CONTACT LENSES (IN LIEU OF GLASSES)
UP TO $30 UP TO $50 UP TO $65 UP TO $50
INCLUDED IN RX GLASSES CO-PAY
$60 COPAY $130 CONTACT ALLOWANCE
UP TO $105
EYE EXAM
EYE EXAMS ARE COVERED UNDER MEDICAL INSURANCE
$3.73 EMPLOYEE ONLY $7.97 EMPLOYEE + CHILD(REN) $7.45 EMPLOYEE + SPOUSE $12.75 EMPLOYEE +FAMILY
EMPLOYEE CONTRIBUTION
VSP FOR MORE INFORMATION: https://www.vsp.com/
PLAN ADMINISTRATOR
EMPLOYEES HAVE 45 DAYS TO ENROLL VIA UC Flex/ESS IF NO ELECTIONS ARE MADE WITHIN 45 DAYS, EMPLOYEES WILL DEFAULT TO NO COVERAGE
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