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 

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