Vision
Healthy eyes and clear vision are an important part of your overall health and quality of life. You may enroll yourself and your eligible dependents or you may waive vision coverage. You do not have to be enrolled in medical coverage to elect vision coverage or cover the same dependents under medical and vision.
Although vision care services and supplies are covered in-network and out-of-network, your benefits are generally greater when you use in-network providers. Your costs are based on the family members you choose to cover.
VSP Select Plan
Benefit Highlights
In-Network Only
Exams
$10 copay
Materials
$20 copay
Single Vision Lenses
Included in materials copay
Bifocal Lenses
Included in materials copay
Trifocal Lenses
Included in materials copay
Frames
$120 maximum allowance
$65 allowance for Costco frames
20% off over your allowance
Contacts (in lieu of glasses)
No copay; $120 allowance
Frequency
Exams
Once every 12 months
Lenses
Once every 24 months
Frames
Once every 24 months
Contacts
Once every 24 months
Monthly Plan Cost
Employee Only: $0
Employee + 1: $3
Employee and Family: $7
VSP Premium Plan
Benefit Highlights
In-Network Only
Exams
$25 copay
Materials
$25 copay
Single Vision Lenses
Included in materials copay
Bifocal Lenses
Included in materials copay
Trifocal Lenses
Included in materials copay
Frames
$200 maximum allowance
$110 allowance for Costco frames
20% off over your allowance
Contacts (in lieu of glasses)
No copay; $200 allowance
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months
Monthly Plan Cost
Employee Only: $9
Employee + 1: $18
Employee and Family: $32
