Page 14 - Interior Architects-2022-23-Benefit Guide
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Vision Plan
The VSP 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.
VSP Vision Plan
Plan Provisions In-Network Out-of-Network
Exam $20 copay Up to $50
Frames $20 copay + $200 allowance Up to $70
Lenses
΅ Single vision lenses $20 copay Up to $50
΅ Bifocal lenses $20 copay Up to $75
΅ Trifocal lenses $20 copay Up to $100
΅ Lenticular lenses $20 copay Up to $125
Contact Lenses
΅ Elective $60 copay + $150 allowance Up to $105
΅ Medically necessary Covered at 100% Up to $210
Frequency
΅ Exam 12 Months 12 Months
΅ Lenses 12 Months 12 Months
΅ Frames 12 Months 12 Months
΅ Contact lenses 12 Months 12 Months
New Vision Enhancements for 2022:
΅ Frames allowance now $200 for retail chains and $110 at Costco Optical locations.
΅ Polycarbonate (impact-resistant) lenses now covered in full.
΅ Members can now use frame allowance toward non-prescription blue light filtering glasses or sunglasses.
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