Page 11 - 2018-19 US Tool Benefit Guide
P. 11
VISION Vision coverage
Vision Benefits provided by VSP.
We partner with VSP to offer you and your family members vision
insurance. Visit www.vsp.com to ind in-network providers and access to a
variety of online tools and programs.
Lawful spouses and legally dependent children up to age 19, or age 25 if
they are a full-time student with 12 credit hours or more are eligible for
the vision plan. Please note full-time student status requires veriication
twice annually (spring and fall semester) by providing a class schedule,
letter from the school, or tuition billing statement.
Vision Beneits At-a-Glance
In-Network Out-of-Network
Exams Covered in full, after $10 Up to $50
(every 12 months) copay
Materials $30 copay Varies
Lenses (every 12 months)
Single 100% after $30 copay Up to $50
Bifocal 100% after $30 copay Up to $75
Trifocal 100% after $30 copay Up to $100
Approved Frames (every 24 months)
Up to $150 allowance Up to $70
Approved Contact Lenses (every 12 months) in lieu of
glasses
Elective Up to $150 allowance Up to $105
Vision
Weekly
Employee Only $1.77
Employee and Spouse $2.57
Employee and Child(ren) $4.61
Employee and Family $4.61
US Tool Group 11
Vision Benefits provided by VSP.
We partner with VSP to offer you and your family members vision
insurance. Visit www.vsp.com to ind in-network providers and access to a
variety of online tools and programs.
Lawful spouses and legally dependent children up to age 19, or age 25 if
they are a full-time student with 12 credit hours or more are eligible for
the vision plan. Please note full-time student status requires veriication
twice annually (spring and fall semester) by providing a class schedule,
letter from the school, or tuition billing statement.
Vision Beneits At-a-Glance
In-Network Out-of-Network
Exams Covered in full, after $10 Up to $50
(every 12 months) copay
Materials $30 copay Varies
Lenses (every 12 months)
Single 100% after $30 copay Up to $50
Bifocal 100% after $30 copay Up to $75
Trifocal 100% after $30 copay Up to $100
Approved Frames (every 24 months)
Up to $150 allowance Up to $70
Approved Contact Lenses (every 12 months) in lieu of
glasses
Elective Up to $150 allowance Up to $105
Vision
Weekly
Employee Only $1.77
Employee and Spouse $2.57
Employee and Child(ren) $4.61
Employee and Family $4.61
US Tool Group 11
