Page 13 - 2018 DAN Enrollment
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Vision Benefits Health Savings Account (HSA)







Vision Plan
The vision plan administered by VSP provides affordable eye care with Extra $20 Discount When you enroll in the High Deductible Health Plan, you will be given
discounts on routine eye exams, frames, prescription glasses, and/ Available on featured frame seed money in your Health Savings Account (HSA) to help you offset
or contact lenses. For more details see the vision plan summary plan brands like Calvin Klein, DVF, your out of pocket expenses. An account will be opened for you with
description posted on www.DANbeneitsPLUS.com. Cole Haan, Dragon Optum Bank.

An HSA is a great way to pay for your medical expenses now and save
Vision Service Plan for the future. An HSA is triple tax free. This means your contributions
2018 Employee Contributions Per Pay Period are tax free, your distributions are tax free and any earnings on your
Employee $3.50 account grow tax free.
Employee + Spouse $7.00

Employee + Child(ren) $7.49
Family $11.96 Don’t forget,
In-Network Out-of-Network DAN gives you FREE money when you are enrolled in the
Plan Feature HDHP Plan. Employees with single coverage receive $500/year
Well Vision Exam and employees with family coverage receive $1,000/year. The
(every calendar year) $10 copay Up to $45 contributions are deposited on a quarterly basis.
Single: up to $30

Lenses/Prescription Glasses (every $25 copay Bifocal: up to $50
calendar year) Trifocal: up to $65
Lenticular: up to $100 The 2018 maximum HSA Contributions are:

Frames (every 12 months) $160 allowance + 20% off amount over Up to $70 • Single Coverage: $3,450
allowance
Elective Contact Lens Care (every 12 $160 allowance for contacts; itting and Up to $105 • Family Coverage: $6,900
months) evaluation up to $60 copay
Medically Necessary Contact Lens Care $25 Copay Up to $210 • If you are age 55 or older, you can also
(every 12 months) make catch up contributions up to $1,000
Laser Vision Correction (contracted Average 15% off regular price or 5% off
facilities only) promotional price Not covered Keep in mind, your HSA is yours to keep. It
Lens Enhancements goes where you go and any unused balances
• Scratch Resistant Coatings $0 Copay N/A carry over each year.
• Anti-Relective Coatings $25 Copay N/A


Visit Eyeconic.com – Virtually try on eyewear to choose your perfect it! You must be enrolled in the HDHP medical
Additional services using your VSP coverage can be found online at plan to be eligible to sign up for a HSA.
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.



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