Page 17 - Intertek 2021 Benefits Guide
P. 17
2021
Intertek Benefits Guide

Vision Safety Goggles Included in



Vision Coverage with VSP Coverage
Safety goggles are in addition to your frames and
We know your eye sight is precious to you so we contacts, not in lieu of.
make vision beneits available for you to elect to According to the US Bureau of Labor Statistics,
ensure your trip to the eye doctor is reasonably approximately 60% of people who incur eye injuries at
priced. To locate an in-network VSP provider in your work are not wearing proper protective wear. You can
area go to vsp.com or call 800.877.7195. 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 In-Network Out-of-Network vsp.com or contact OnGuard (Hilco) at 800.955.6544 for
more details.
Vision Exam
Exam copay $10 copay Up to $50
Lenses Your cost of coverage is summarized when you enroll
Single lens $25 copay Up to $50 online through https://my.adp.com.
Bifocal lens $25 copay Up to $75
Trifocal lens $25 copay Up to $100
Lenticular lens $25 copay Up to $125
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
Frame and Lenses $25 copay Not covered
(employees only)
Frequency
Exams 12 months
Lens 12 months
Contacts (in lieu of 12 months
glasses)
Frames 24 months





















17
   12   13   14   15   16   17   18   19   20   21   22