Page 14 - 2020 DAN Benefits Enrollment
P. 14
Vision Benefits
Vision Plan
The vision plan administered by VSP provides affordable eye care with
discounts on routine eye exams, frames, prescription glasses, and/
or contact lenses. For more details see the vision plan summary plan
description posted on www.danbeneitsplus.com.
Vision Service Plan
Employee Contributions Per Pay Period
Employee $3.64
Employee + Spouse $7.27
Employee + Child(ren) $7.78
Family $12.43
In-Network Out-of-Network
Plan Feature
Well Vision Exam
(every calendar year) $10 copay Up to $45
Single: up to $30
Lenses/Prescription Glasses (every $25 copay Bifocal: up to $50
calendar year) Trifocal: up to $65
Lenticular: up to $100
Frames (every 12 months) $200 allowance + 20% off amount over Up to $70
allowance
Elective Contact Lens Care (every 12 $160 allowance for contacts; itting and Up to $105
months) evaluation up to $60 copay
Medically Necessary Contact Lens Care $25 Copay Up to $210
(every 12 months)
Laser Vision Correction (contracted Average 15% off regular price or 5% off
facilities only) promotional price Not covered
Lens Enhancements
• Scratch Resistant Coatings $0 Copay N/A
• Anti-Relective Coatings $25 Copay N/A
Visit Eyeconic.com – Virtually try on eyewear to choose your perfect it!
Additional services using your VSP coverage can be found online at
www.eyeconic.com! This site can show you the latest deals and promotions on
eyewear and contact lenses—keeping you in the loop on all the newest brands, trends
and styles available. There is even a virtual ‘dressing room’ to try on your eyewear
before you order!
No matter what kind of eye products you use now, or you might try in the future, we
have you covered. Eyeconic even makes it easy to apply insurance toward an online
purchase, and includes the option to utilize the expertise of our VSP© doctor network.
14 2020 Beneits Enrollment
Vision Plan
The vision plan administered by VSP provides affordable eye care with
discounts on routine eye exams, frames, prescription glasses, and/
or contact lenses. For more details see the vision plan summary plan
description posted on www.danbeneitsplus.com.
Vision Service Plan
Employee Contributions Per Pay Period
Employee $3.64
Employee + Spouse $7.27
Employee + Child(ren) $7.78
Family $12.43
In-Network Out-of-Network
Plan Feature
Well Vision Exam
(every calendar year) $10 copay Up to $45
Single: up to $30
Lenses/Prescription Glasses (every $25 copay Bifocal: up to $50
calendar year) Trifocal: up to $65
Lenticular: up to $100
Frames (every 12 months) $200 allowance + 20% off amount over Up to $70
allowance
Elective Contact Lens Care (every 12 $160 allowance for contacts; itting and Up to $105
months) evaluation up to $60 copay
Medically Necessary Contact Lens Care $25 Copay Up to $210
(every 12 months)
Laser Vision Correction (contracted Average 15% off regular price or 5% off
facilities only) promotional price Not covered
Lens Enhancements
• Scratch Resistant Coatings $0 Copay N/A
• Anti-Relective Coatings $25 Copay N/A
Visit Eyeconic.com – Virtually try on eyewear to choose your perfect it!
Additional services using your VSP coverage can be found online at
www.eyeconic.com! This site can show you the latest deals and promotions on
eyewear and contact lenses—keeping you in the loop on all the newest brands, trends
and styles available. There is even a virtual ‘dressing room’ to try on your eyewear
before you order!
No matter what kind of eye products you use now, or you might try in the future, we
have you covered. Eyeconic even makes it easy to apply insurance toward an online
purchase, and includes the option to utilize the expertise of our VSP© doctor network.
14 2020 Beneits Enrollment
