Page 9 - Creative Snacks 2023 Benefit Guide
P. 9

Vision Plan



        The vision plan provides coverage for routine eye exams and pays for all or a portion of the cost of glasses or contact
        lenses. You can choose any provider; however, you always save money if you see in-network providers. We offer a vision
        plan through VSP.


                                                                           VSP Vision
         Plan Provisions                                  In-Network                        Out-of-Network

         Exam                                             $10 copay                          Up to $45 off

         Frames                                         $130 allowance                       Up to $70 off


         Lenses
            ΅ Single vision                               $25 copay                          Up to $30 off
            ΅ Bifocal                                     $25 copay                          Up to $50 off
            ΅ Trifocal                                    $25 copay                          Up to $65 off


         Contact Lenses                                 Up to allowance                      Up to $210 off
         (Medically necessary)

         Elective Contact Lenses                        $130 allowance                       Up to $105 off
         (in lieu of glasses)

         Frequency
            ΅ Exam                                                     Once every 12 months
            ΅ Lenses                                                   Once every 12 months
            ΅ Frames                                                   Once every 24 months
            ΅ Contact lenses                                           Once every 12 months




            Pay for vision expenses tax-free
            Use your HSA to pay for your exam copay and eyeglasses or contacts.





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