• Eligibility More Information

    The Vision Care Benefit is only available to those working participants considered "Eligible Employees" and their Dependents. It is not available for Retired Participants or their Dependents.
     
  • Basic Benefit Description

    This benefit helps pay for annual vision examinations and for glasses and contact lenses, subject to the rules of the Plan. The Plan uses a network of opticians, optometrists, and ophthalmologists called Vision Service Plan (VSP) to provide these benefits in an efficient and cost-effective way. Reduced benefits are available when you use a provider outside the VSP network. How often you can use the benefit and your copayment are shown in the benefit schedule below.
     
  • Benefit Schedule when using a VSP Provider

    Frequency Your Copayment
    Eye Examinations once every 12 months $10
    Lenses once every 12 months $25 (for both lenses and frames)
    Frames once every 24 months
    • $150 allowance for a wide selection of frames
    • $170 allowance for featured frame brands
    • 20% savings on the amount over your allowance
    • $80 allowance at Costco
    Contacts (can be chosen instead of lens and frames) 12 months $150 allowance for contacts and contact lens exam (fitting and evaluation)
     
  • Benefit Schedule when using non-VSP Provider

      Frequency Plan Pays (you pay entire remainder)
    Eye Exam once every 12 months up to $50
    Lenses once every 12 months up to $50/single vision
    up to $75/bifocal
    up to $100/trifocal
    up to $180/lenticular
    up to $105/contacts
    Frames once every 24 months up to $70