Page 20 - 2018 SLU New Hire Guide
P. 20
Vision Insurance Vision
Cards Because symptoms of health conditions often don’t appear until damage
VSP does not provide vision insurance has already occurred, eye exams are a great way to keep tabs on what’s
ID cards. Members are not required happening in your body. Our vision insurance coverage, offered in
to carry or produce a vision card for partnership with Vision Service Plan (VSP), is designed to meet a variety
services at any of our VSP providers
ofices. Members simply choose a VSP of needs.
provider and let them know they have
VSP coverage. The doctor’s ofice will Find an In-Network Provider
request the name of the member and/
or patient name, the last four digits of Remember to visit in-network providers to receive the deepest level of
the member’s ID (their SSN), and VSP discount on your services. To ind a participating in-network provider in
will take care of the rest. your area, go to www.vsp.com and select the “choice” network.
As an alternative, members can In-Network Out-of-Network
download a member-speciic ID Well Vision Exam
card on www.vsp.com if having a $10 copay Up to $45 allowance
physical ID card is preferred. Lenses
Single $10 copay Up to $30 allowance
To conirm eligibility in VSP’s system, Bifocal $10 copay Up to $50 allowance
please contact Customer Service at Trifocal $10 copay Up to $65 allowance
800.877.7195. Frames
$150 allowance for a wide Up to $70 allowance
selection of frames; $170
allowance for featured
frame brands; 20%
discount on the amount
over your balance
Contacts
$150 allowance for Up to $105 allowance
contacts; including the
contacts lens exam (itting
and evaluation)
Frequency
Exam, lenses, contacts Every calendar year
Frames Every other calendar year
This is a high level summary of your beneit coverage. Full coverage details are available in your
summary plan description (SPD). In the event there is a discrepancy between what is relected in
this guide and what is communicated in your SPD, the terms of your SPD will prevail.
Monthly Premiums Bi-Weekly Premiums
Employee $7.02 $3.24
Employee and spouse $12.76 $5.89
Employee and child(ren) $13.38 $6.18
Family $20.66 $9.54
20 2018 New Hire Guide
Cards Because symptoms of health conditions often don’t appear until damage
VSP does not provide vision insurance has already occurred, eye exams are a great way to keep tabs on what’s
ID cards. Members are not required happening in your body. Our vision insurance coverage, offered in
to carry or produce a vision card for partnership with Vision Service Plan (VSP), is designed to meet a variety
services at any of our VSP providers
ofices. Members simply choose a VSP of needs.
provider and let them know they have
VSP coverage. The doctor’s ofice will Find an In-Network Provider
request the name of the member and/
or patient name, the last four digits of Remember to visit in-network providers to receive the deepest level of
the member’s ID (their SSN), and VSP discount on your services. To ind a participating in-network provider in
will take care of the rest. your area, go to www.vsp.com and select the “choice” network.
As an alternative, members can In-Network Out-of-Network
download a member-speciic ID Well Vision Exam
card on www.vsp.com if having a $10 copay Up to $45 allowance
physical ID card is preferred. Lenses
Single $10 copay Up to $30 allowance
To conirm eligibility in VSP’s system, Bifocal $10 copay Up to $50 allowance
please contact Customer Service at Trifocal $10 copay Up to $65 allowance
800.877.7195. Frames
$150 allowance for a wide Up to $70 allowance
selection of frames; $170
allowance for featured
frame brands; 20%
discount on the amount
over your balance
Contacts
$150 allowance for Up to $105 allowance
contacts; including the
contacts lens exam (itting
and evaluation)
Frequency
Exam, lenses, contacts Every calendar year
Frames Every other calendar year
This is a high level summary of your beneit coverage. Full coverage details are available in your
summary plan description (SPD). In the event there is a discrepancy between what is relected in
this guide and what is communicated in your SPD, the terms of your SPD will prevail.
Monthly Premiums Bi-Weekly Premiums
Employee $7.02 $3.24
Employee and spouse $12.76 $5.89
Employee and child(ren) $13.38 $6.18
Family $20.66 $9.54
20 2018 New Hire Guide
