Vision Insurance
There is one Plan design option to choose from provided through VSP plus an opt out feature. There were no changes to our Vision Plan for 2013.
Vision Benefits - 2013:
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In-Network
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Out-of-Network
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Vision Exam
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$10.00 co-pay
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Up to $45.00
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Frames
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$130 Allowance; 20% of the
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Up to $70.00
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amount over your allowance
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Prescription Glasses: $25.00 co-pay
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Standard Plastic Lenses:
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$25.00 co-pay
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Single Vision
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Up to $30.00
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Lined Bifocal
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Up to $50.00
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Lined Trifocal
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Up to $65.00
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Standard Polycarboate for dependent
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Up to $55.00
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children
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Lens Options:
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Contact VSP if you
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Standard Progressive Plastics
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$55.00 co-pay
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are seeing an out of
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Premium Progressive Plastics
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$95.00-$105.00 co-pay
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network provider
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Custom Progressive Plastics
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$150.00 - $175.00 co-pay
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for coverage amounts
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Contact Lenses
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$130.00 Allowance
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(instead of contacts)
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Up to $60.00 co-pay for your
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Up to $105.00
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contact lens exam (fitting and
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evaluation)
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Laser Vision Correction
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15% off retail price - or - 5% off
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N/A
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promotional price
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Frequency
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Examinations
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Once every 12 months
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Frames
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Once every 24 months
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Lenses or Contacts
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Once every 12 months
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(in lieu of plastic lenses)
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To find the right eye care provider for you, visit vsp.com or call 800/877-7195.
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At your appointment, tell them you have VSP. There is no ID card required.
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Waiver Option: An employee may opt out of the vision plan; however, there is no biweekly credit for this benefit. Note: To refer to the Vision Plan Summary for a benefits comparison, please click here. For specific information, please refer to the Employee Summary Plan Description, click here.
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