HRD > Benefits Administration Services > Dental and Vision Benefits Handbook >
| Benefits The vision benefits provided through VSP and EyeMed Vision Care Plan include: Vision Examination - A complete analysis of the eyes and related structures to determine the presence of vision problems. Contact lens evaluation and fitting, and additional supplemental tests are not covered under the vision examination. Lenses - The member doctor will order the proper lenses. The doctor also will verify the accuracy of the finished lenses. (Note: progressive lenses (no-line bifocal and trifocal lenses) are a covered benefit). Frames - Frames within the plan allowance are covered in full. If you select a frame that costs more than the wholesale allowance (or a large frame that requires oversized lenses) there will be an additional charge. More expensive frames are available at a controlled cost, by agreement between the member doctor and VSP or EyeMed. To minimize your out-of-pocket expenses, ask your provider to show you frames priced within the benefit allowance. Necessary Contact Lenses - If you use an out-of-network doctor, the necessary contact lens benefit maximum is $210. Contact lenses and the necessary opthalmic materials are covered in full, less the applicable $15 copayment, when a member doctor receives prior approval to:
Elective (Cosmetic) Contact Lenses - When contact lenses are chosen for reasons other than those above, they are considered elective. An allowance of $125 with no copayment will be made toward their cost in place of spectacle lenses and frames for the benefit period. Plan Discounts Patients may obtain additional pairs of prescription glasses at a 20 percent discount off usual and customary charges. In addition there is a 15 percent discount off contact lens professional services (materials provided at usual and customary fees.) These discounts are available for 12 months following the patient's last covered eye examination from the member doctor who provided that examination. Laser VisionCare Program Through VSP's Laser VisionCare Program patients may obtain a 20 to 25 percent discount on PRK and LASIK surgery up to a maximum charge of $1,500 and $1,800, respectively, per eye. Details about VSP's Laser VisionCare Program, as well as comprehensive information about laser vision correction surgery can be found in the WellVision Learning Source area of VSP's Web site or by contacting VSP at (800) 877-7195 or TDD for the hearing imparied at (800) 428-4833. EyeMed Vision Care also offers special incentives for Lasik services. Call 888-705-2020 to obtain information about participating surgeons in your area and the savings you can receive as an EyeMed Vision Care member.
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