Dental & Vision
What does vision cover?
Different vision benefits renew on different schedules.
Vision Plan Basics
- Coverage for an eye exam every calendar year.
- Helps pay for frames, lenses and necessary contacts.
- Provides up to $200 per eye for laser correction surgery.
- Get new lenses every year and new frames every 24 months.
What comes out of your paycheck, per week
Parent company · Dental and vision · per week
| Coverage | Tier 1 | Tier 2 | Tier 3 |
|---|---|---|---|
| Just you | $8 | $9 | $10 |
| You + children | $10 | $11 | $12 |
| Family | $12 | $13 | $14 |
Subsidiary · Dental and vision · per week
| Coverage | Per week |
|---|---|
| Just you | $8 |
| You + children | $10 |
| Family | $12 |
Part of the dental / vision package
Vision Service Plan (VSP) administers the vision benefit. Medically necessary eye exams go through medical coverage.
In-network benefits
| Service / frequency | In-network | Out-of-network |
|---|---|---|
| One exam every calendar year | $10 co-pay | Reimbursed up to $60 after $10 co-pay |
| One pair lenses every calendar year | $20 co-pay | After $20 Co-Pay - Reimbursed up to: $60 Single Vision; $89 Bifocal; $100 Trifocal; $160 Lenticular |
| One frame every 24 months | Covered up to $150 | Reimbursed up to $70 |
| Elective contact lenses every calendar year | $0 co-pay with exam; Covered up to $150 | Reimbursed up to $105 |
| Laser vision correction | Allowance of $200 per eye | Reimbursed up to $200 per eye lifetime maximum |