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BENEFITS

Vision Insurance

Meritain Health (VSP) | PPO Vision Plan
The vision plan provides professional vision care and high quality lenses and frames through a broad network of optical specialists.
You will receive richer benefits if you utilize a “VSP Signature” network provider. If you utilize a non‐network provider, you will be
responsible to pay all charges at the time of your appointment and will be required to file an itemized claim.

Meritain Health (VSP) Note
Plan Name PPO Plan VSP has the largest

Network Name VSP Signature Non-Network network of private-
practice eye care
Vision Benefits doctors in the
industry. VSP’s
Calendar Year Deductible $25 $25
network includes
Examination 37,000 access points
- Ophthalmologist $75 Benefit $75 Reimbursement nationwide. Most of
- Optometrist $65 Benefit $65 Reimbursement the U.S. population
Lenses lives within four
- Single Vision $70 Benefit $70 Reimbursement miles of a VSP
- Bifocal $90 Benefit $90 Reimbursement provider.
- Trifocal $95 Benefit $95 Reimbursement
- Lenticular $130 Benefit $130 Reimbursement
Frames $110 Benefit $110 Reimbursement
Contact Lenses In Lieu of Frames and Lenses

- Cosmetic / Elective $130 Benefit $130 Reimbursement
- Medically Necessary 20% of U&C to $250 Benefit 20% of U&C to $250 Benefit
Frequency

Examination 12 Months
Lenses 12 Months
Frames 12 Months

Contact Lenses 12 Months

Finding a Vision Provider
Online: Go to www.vsp.com. Refer to the “VSP Signature” network when prompted
Telephone: Call Meritain at (800) 925-2272

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