Your VSP Vision Benefits Summary

BELTON INDEPENDENT SCHOOL DISTRICT and VSP provide you with an affordable eye care plan.

$150 allowance for a wide selection of frames

$170 allowance for featured frame brands

20% savings on the amount over your allowance

Lenses

Lens Enhancements

Contacts (instead of glasses)

Diabetic Eyecare Plus Program

$85 Costco® frame allowance Every

Single vision, lined bifocal, and lined trifocal lenses Polycarbonate lenses for dependent children

Standard progressive lenses

Premium progressive lenses

$95 - $105

$150 - $175 Custom progressive lenses

Average savings of 20-25% on other lens enhancements

$150 allowance for contacts; copay does not apply Contact lens exam (fitting and evaluation)

Services related to diabetic eye disease, glaucoma and age-related macular degeneration (AMD). Retinal screening for eligible members with diabetes. Limitations and coordination with medical coverage may apply. Ask your VSP doctor for details.

Glasses and Sunglasses

Extra $20 to spend on featured frame brands. Go to vsp.com/specialoffers for details.

20% savings on additional glasses and sunglasses, including lens enhancements, from any VSP provider within 12 months of your last WellVision Exam.

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 $7

Emergency Transportationcosts

MASA MTS is here toprotect its members and their families from the shortcomings of health insurance coverage by providing them with comprehensive financial protection for lifesaving emergencytransportationservices, bothathome andaway fromhome.

ManyAmericanemployersandemployees believethattheirhealthinsurancepolicies covermost,ifnotallambulanceexpenses. The truth is, they DONOT!

Even after insurance payments for emergency transportation, you couldreceive abillupto$5,000forgroundambulanceand as high as $70,000 for air ambulance. The financial burdens for medical transportation costs are veryreal.

How Masa Isdifferent

AcrosstheUStherearethousandsofground ambulance providers andhundreds of air ambulance carriers. ONLY MASA offers comprehensive coverage since MASA is a PAYER andnotaPROVIDER!

ONLY MASA provides over 1.6million members with coverage for BOTH ground ambulance and air ambulance transport, REGARDLESS ofwhich provider transportsthem.

Members are covered ANYWHERE in all50 states andCanada!

Additionally, MASA provides arepatriation benefit:ifamemberishospitalizedmorethan 100miles from home, MASA can arrangeand pay tohave them transported toahospital closer totheir place ofresidence.