Page 12 - 2022 Intapp Benefits Guide

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.

Plan Provisions VSP Signature Plan
Once every calendar year In-Network Out-of-Network

Exam $10 copay Up to $50

$25 copay;
Frames $130 allowance retail + Up to $70
20% off amount over allowance

Lenses
● Single vision lenses $25 copay Up to $50
● Bifocal lenses $25 copay Up to $75
● Trifocal lenses $25 copay Up to $100
Contact Lenses
● Elective Up to $60 copay; $130 allowance $105 allowance for combined contact
lens exam and contact lenses
● Medically necessary $25 copay Up to $210
Frequency
● Exam Every 12 months Every 12 months
● Lenses Every 12 months Every 12 months
● Frames Every 12 months Every 12 months
● Contact lenses Every 12 months Every 12 months

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