Proper vision benefits are important to a person's health and well-being. Vision coverage ensures that a member goes in for their yearly vision exam. Routine exams are a great preventive step that can lower a person's overall healthcare costs, since issues can be detected early and prevented. Vision insurance is one of the most popular benefits for a company to have. Costs of Vision Insurance are so affordable is usually a no-brainer for anyone with contacts or glasses.
We offer one of the Largest and Best Networks available across the country with the VSP Network.
GROUP VISION INSURANCE
| Frames: Once per 24 Months Monthly Premiums |
|
| Employee | $6.94 |
| Employee & Family | $18.09 |
BENEFITS
| All Eligible Employees | |
|---|---|
| Contribution/Participation | Voluntary, None. |
| Dependent Age Limits | To Age 26 |
| Network/Plan | VSP/Full Feature - Choice B |
| Copay | |
| Split(Exams/Materials) | $10/$25 |
SERVICE FREQUENCIES
| Once Every: | |
|---|---|
| Eye Exams | Calendar Year |
| Lenses Benefit | Calendar Year |
| Contact Lenses | Calendar Year |
| Frames | Other Calendar Year |
REIMBURSEMENT SCHEDULE
| In Network (Copay) | Out Network (Before Copay) | |
|---|---|---|
| Eye Exams Benefit | $10 | $59 max |
Lenses Benefit |
||
| Single Vision | $25 | $30 max |
| Bifocal | $25 | $50 max |
| Trifocal | $25 | $65 max |
| Lenticular | $25 | $100 max |
Contact Lenses Benefit** |
||
| Medically Necessary | Covered after copay | $210 max |
| Elective Materials | $130 max (Copay waived) | $160 max (Copay waived) |
| Elective Fitting and Evaluation | Member pays up to $60. 15% discount on the fee | Included in the Contact Lens Allowance |
| Frames Benefit | $130 retail max + 20% off balance | $80 max |
| Costco, Walmart, Sam's Club Frame | $70 retail max | Not Covered |
| Visions Upgrade Options Included | Retail Chain Provider | Not Applicable |
**In lieu of eyeglass lenses and/or frames
FLEXIBLE, COST-EFFECTIVE VISION COVERAGE
Members have nationwide access to quality vision providers and affordable pricing on all lens options (savings average 20%-25%) and can choose any frame, lens type, or brand on the market.
MEMBER COST FOR LENS OPTIONS
LENS OPTION |
SINGLE VISION | MULTI-FOCAL |
|---|---|---|
| Solid Plastic Dye (Pink I and II) | $0 | $0 |
| Solid Plastic Dye (Except Pink I and II) | $15 | $15 |
| Plastic Gradient Dye | $17 | $17 |
| UV Protection | $16 | $16 |
| Factory Applied Scratch-Resistant Coating | $17 | $17 |
| Polycarbonate Lenses (covered in full for dependent children) | $31 | $35 |
| Anti-Reflective Coating | $41 | $41 |
| Photochromatic Lenses — Plastic | $70 | $82 |
MEMBER COST FOR PROGRESSIVE LENS OPTIONS
LENS OPTION |
MULTI-FOCAL |
|---|---|
| Custom Progressive — Plastic | $150-$175 |
| Premium Progressive — Plastic | $95-$105 |
| Standard Progressive — Plastic | $55 |

