Vision Insurance
EMPLOYEE BENEFITS
VSP ABOUT VISION Vision insurance provides coverage for routine eye examinations and can help with covering some of the costs for eyeglass frames, lenses or contact lenses.
For full plan details, please visit your benefit website: www.mybenefitshub.com/dickinsonisd
Vision
YOUR VSP VISION BENEFITS SUMMARY DICKINSON ISD and VSP provide you with an affordable vision plan.
BENEFIT WELLVISION EXAM PRESCRIPTION GLASSES FRAME
• • • • •
Employee Only Employee and Spouse Employee and Child(ren) Employee and Family
DESCRIPTION YOUR COVERAGE WITH A VSP PROVIDER Focuses on your eyes and overall wellness
$9.90 $20.96 $20.96 $20.96
COPAY
FREQUENCY
$10 $25
Every 12 months See frame and lenses
$220 featured frame brands allowance $200 frame allowance Included in Every 12 months 20% savings on the amount over your allowance Prescription Glasses $110 Walmart®/Sam's Club®/Costco® frame allowance LENSES • Single vision, lined bifocal, and lined trifocal lenses Included in Every 12 months Prescription Glasses • Impact-resistant lenses for dependent children LENS ENHANCEMENTS $0 • Standard progressive lenses $95 - $105 • Premium progressive lenses Every 12 months $150 - $175 • Custom progressive lenses • Average savings of 30% on other lens enhancements CONTACTS (INSTEAD OF • $200 allowance for contacts and contact lens exam GLASSES) (fitting and evaluation) $0 Every 12 months • 15% savings on a contact lens exam (fitting and evaluation) DIABETIC EYECARE PLUS • Retinal screening for members with diabetes PROGRAMSM • Additional exams and services for members with $0 diabetic eye disease, glaucoma, or age-related As needed $20 per exam macular degeneration. • Limitations and coordination with your medical coverage may apply. Ask your VSP doctor for details. EXTRA SAVINGS Glasses and Sunglasses • Extra $20 to spend on featured frame brands. Go to vsp.com/offers for details. • 20% savings on additional glasses and sunglasses, including lens enhancements, from any VSP provider within 12 months of your last Well Vision Exam. Routine Retinal Screening • No more than a $39 copay on routine retinal screening as an enhancement to a WellVision Exam Laser Vision Correction • Average 15% off the regular price or 5% off the promotional price; discounts only available from contracted facilities YOUR COVERAGE WITH OUT-OF-NETWORK PROVIDERS Get the most out of your benefits and greater savings with a VSP network doctor. Call Member Services for out-of-network plan details. 23
