Page 15 - 2020 Intertek Benefits Enrollment

Vision

Vision Coverage with VSP

We know your eye sight is precious to you so we make vision beneits
available for you to elect to ensure your trip to the eye doctor is
reasonably priced. To locate an in-network VSP provider in your area
go to vsp.com or call 800.877.7195.

VSP In-Network Out-of-Network
Vision Exam
Exam copay $10 copay Up to $45
Lenses
Single lens $25 copay Up to $30
Bifocal lens $25 copay Up to $50
Trifocal lens $25 copay Up to $65
Lenticular lens $25 copay Up to $100
Frames
Frame beneit $150 allowance Up to $70
Contact Lenses
In lieu of glasses $150 allowance, Up to $105
copay does not
apply
ProTec Safety Goggles Safety Goggles
Frame and Lenses (employees only) $25 copay Not covered Included in
Frequency
Exams 12 months Coverage
Lens 12 months Safety goggles are in addition to
your frames and contacts, not in
Contacts (in lieu of glasses) 12 months lieu of.
Frames 24 months
According to the US Bureau of
Labor Statistics, approximately 60%
Your cost of coverage is summarized when you enroll online through of people who incur eye injuries
https://my.adp.com. at work are not wearing proper
protective wear. You can receive
the right protective eyewear as part
of your vision insurance coverage.
Covered employees can select from
the ProTec Eyewear safety frames
collection. Visit vsp.com for more
details.

Your coverage includes access to
popular new retail locations like
Costco, Cohen’s Fashion Optical,
and Visionworks.

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