Page 12 - 2019 DAN
P. 12
Vision Benefits Health Savings Account (HSA)
Vision Plan When you enroll in the High Deductible Health Plan (HDHP), you will
The vision plan administered by VSP provides affordable eye care with be given seed money in your Health Savings Account (HSA) to help you
discounts on routine eye exams, frames, prescription glasses, and/ offset your out of pocket expenses. An account will be opened for you
or contact lenses. For more details see the vision plan summary plan with Optum Bank.
description posted on www.danbeneitsplus.com. An HSA is a great way to pay for your medical expenses now and save
for the future. An HSA is triple tax free. This means your contributions
Vision Service Plan are tax free, your distributions are tax free and any earnings on your
Employee Contributions Per Pay Period account grow tax free.
Employee $3.64
Employee + Spouse $7.27
Employee + Child(ren) $7.78 Don’t forget,
Family $12.43 DAN gives you FREE money when you are enrolled in the
In-Network Out-of-Network HDHP Plan. Employees with single coverage receive $500/year
Plan Feature and employees with family coverage receive $1,000/year. The
Well Vision Exam contributions are deposited on a quarterly basis.
(every calendar year) $10 copay Up to $45
Single: up to $30
Lenses/Prescription Glasses (every $25 copay Bifocal: up to $50
calendar year) Trifocal: up to $65 The 2019 maximum HSA Contributions are:
Lenticular: up to $100 • Single Coverage | $3,500
Frames (every 12 months) $200 allowance + 20% off amount over Up to $70 • Family Coverage | $7,000
allowance
Elective Contact Lens Care (every 12 $160 allowance for contacts; itting and Up to $105 • If you are age 55 or older, you can also
months) evaluation up to $60 copay make catch up contributions up to $1,000
Medically Necessary Contact Lens Care $25 Copay Up to $210
(every 12 months) Keep in mind, your HSA is yours to keep. It
Laser Vision Correction (contracted Average 15% off regular price or 5% off goes where you go and any unused balances
facilities only) promotional price Not covered carry over each year.
Lens Enhancements
• Scratch Resistant Coatings $0 Copay N/A
• Anti-Relective Coatings $25 Copay N/A You must be enrolled in the HDHP medical
plan to be eligible to sign up for a HSA.
Visit Eyeconic.com – Virtually try on eyewear to choose your perfect it!
Additional services using your VSP coverage can be found online at
www.eyeconic.com! This site can show you the latest deals and promotions on
eyewear and contact lenses—keeping you in the loop on all the newest brands, trends
and styles available. There is even a virtual ‘dressing room’ to try on your eyewear
before you order!
No matter what kind of eye products you use now, or you might try in the future, we
have you covered. Eyeconic even makes it easy to apply insurance toward an online
purchase, and includes the option to utilize the expertise of our VSP© doctor network.
12 2019 Benefits Enrollment Dentsu Aegis Network 13
Vision Plan When you enroll in the High Deductible Health Plan (HDHP), you will
The vision plan administered by VSP provides affordable eye care with be given seed money in your Health Savings Account (HSA) to help you
discounts on routine eye exams, frames, prescription glasses, and/ offset your out of pocket expenses. An account will be opened for you
or contact lenses. For more details see the vision plan summary plan with Optum Bank.
description posted on www.danbeneitsplus.com. An HSA is a great way to pay for your medical expenses now and save
for the future. An HSA is triple tax free. This means your contributions
Vision Service Plan are tax free, your distributions are tax free and any earnings on your
Employee Contributions Per Pay Period account grow tax free.
Employee $3.64
Employee + Spouse $7.27
Employee + Child(ren) $7.78 Don’t forget,
Family $12.43 DAN gives you FREE money when you are enrolled in the
In-Network Out-of-Network HDHP Plan. Employees with single coverage receive $500/year
Plan Feature and employees with family coverage receive $1,000/year. The
Well Vision Exam contributions are deposited on a quarterly basis.
(every calendar year) $10 copay Up to $45
Single: up to $30
Lenses/Prescription Glasses (every $25 copay Bifocal: up to $50
calendar year) Trifocal: up to $65 The 2019 maximum HSA Contributions are:
Lenticular: up to $100 • Single Coverage | $3,500
Frames (every 12 months) $200 allowance + 20% off amount over Up to $70 • Family Coverage | $7,000
allowance
Elective Contact Lens Care (every 12 $160 allowance for contacts; itting and Up to $105 • If you are age 55 or older, you can also
months) evaluation up to $60 copay make catch up contributions up to $1,000
Medically Necessary Contact Lens Care $25 Copay Up to $210
(every 12 months) Keep in mind, your HSA is yours to keep. It
Laser Vision Correction (contracted Average 15% off regular price or 5% off goes where you go and any unused balances
facilities only) promotional price Not covered carry over each year.
Lens Enhancements
• Scratch Resistant Coatings $0 Copay N/A
• Anti-Relective Coatings $25 Copay N/A You must be enrolled in the HDHP medical
plan to be eligible to sign up for a HSA.
Visit Eyeconic.com – Virtually try on eyewear to choose your perfect it!
Additional services using your VSP coverage can be found online at
www.eyeconic.com! This site can show you the latest deals and promotions on
eyewear and contact lenses—keeping you in the loop on all the newest brands, trends
and styles available. There is even a virtual ‘dressing room’ to try on your eyewear
before you order!
No matter what kind of eye products you use now, or you might try in the future, we
have you covered. Eyeconic even makes it easy to apply insurance toward an online
purchase, and includes the option to utilize the expertise of our VSP© doctor network.
12 2019 Benefits Enrollment Dentsu Aegis Network 13
