Page 12 - Future Steps
P. 12
Benefits Enrollment
Vision
To search for network vision
providers:
www.VSP.com NISC vision insurance is provided through VSP using the Signature
Select ind a VSP doctor network. A highlight of the plan is shown in the following table.
Enter ZIP Code, select
Non-Network
Signature Beneits Network Reimbursement
Exam $20 copay $50 max after $20 copay
Standard Plastic Lenses
Single vision $20 copay $50 max after $20 copay
Bifocal $20 copay $75 max after $20 copay
Trifocal $20 copay $100 max after $20 copay
Frames
$20 copay; $120 retail $70 max after $20 copay
max
Contact Lenses
Elective $20 copay; $120 retail $105 max, after $20 copay
max; additional 20%
discount over the max
Frequency
Exams, lenses, contact Once every 12 months
lenses (in lieu of glasses)
Frames Once every 24 months
No beneit card is provided for VSP. Simply tell your provider you’re
with VSP and they will look you up in the system.
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Vision
To search for network vision
providers:
www.VSP.com NISC vision insurance is provided through VSP using the Signature
Select ind a VSP doctor network. A highlight of the plan is shown in the following table.
Enter ZIP Code, select
Non-Network
Signature Beneits Network Reimbursement
Exam $20 copay $50 max after $20 copay
Standard Plastic Lenses
Single vision $20 copay $50 max after $20 copay
Bifocal $20 copay $75 max after $20 copay
Trifocal $20 copay $100 max after $20 copay
Frames
$20 copay; $120 retail $70 max after $20 copay
max
Contact Lenses
Elective $20 copay; $120 retail $105 max, after $20 copay
max; additional 20%
discount over the max
Frequency
Exams, lenses, contact Once every 12 months
lenses (in lieu of glasses)
Frames Once every 24 months
No beneit card is provided for VSP. Simply tell your provider you’re
with VSP and they will look you up in the system.
12
