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 Vision Care
Benefit Highlights
In-Network
Exams
$15
Contact Lens Fit & Follow-Up
Up to $60 copay
Single Vision Lenses
$25
Bifocal Lenses
$25
Trifocal Lenses
$25
Frames
$200 allowance
$250 featured frame brands allowance
Contacts (in lieu of glasses)
$200 allowance
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Out-of-Network Reimbursement
Exams
Up to $45 reimbursement
Single Vision Lenses
Up to $30 reimbursement
Bifocal Lenses
Up to $50 reimbursement
Trifocal Lenses
Up to $60 reimbursement
Frames
Up to $50 reimbursement
Contacts (in lieu of glasses)
Up to $100 reimbursement
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Additional Benefits
Additional Vision Benefits Create an account at vsp.com
TruHearing
Hearing aid discount program – up to 60%. Must mention VSP. Call (877) 396-7194
Eyeconic
Online shopping for contacts, glasses, and sunglasses – Applies your vision benefit through the website
Non-Union Plan Cost
Non-Union Weekly
Employee Only: $1.62
Employee and Spouse/DP: $3.23
Employee and Child(ren): $3.49
Employee and Family: $5.58
Non-Union Bi-weekly
Employee Only: $3.50
Employee and Spouse/DP: $7.00
Employee and Child(ren): $7.56
Employee and Family: $12.09
Union Plan Cost
Union Weekly
Employee Only: $1.62
Employee and Spouse/DP: $3.23
Employee and Child(ren): $3.49
Employee and Family: $5.58
HMSA Vision Plan (Hawaii Only)
This plan is for the Hawaii residents only.
Benefit Highlights
In-Network
Exams
$10 copay
Single Vision Lenses
$10 copay
Bifocal Lenses
$10 copay
Trifocal Lenses
$10 copay
Frames
$15 copay
Contacts (in lieu of glasses)
Up to $45 copay
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Out-of-Network
Exams
Up to $40 reimbursement
Single Vision Lenses
Up to $16 reimbursement
Bifocal Lenses
Up to $25 reimbursement
Trifocal Lenses
Up to $25 reimbursement
Frames
Up to $12 reimbursement
Contacts (in lieu of glasses)
Up to $20 reimbursement
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Plan Cost
Weekly
Employee Only: $9.55
Employee + 1: $19.26
Employee and Family: $28.59
Bi-weekly
Employee Only: $20.70
Employee + 1: $41.74
Employee and Family: $61.94
