Page 17 - 2022 Oerlikon Benefits Guide
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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 www.vsp.com.
Vision - VSP
Plan Provisions
In-Network Out-of-Network
Exam $10 copay Up to $45 off
Frames $130 allowance Up to $70 off
Lenses
• Single vision lenses $25 copay Up to $45 off
• Bifocal lenses $25 copay Up to $65 off
• Trifocal lenses $25 copay Up to $85 off
Contact Lenses (in lieu of frames)
• Elective $130 allowance Up to $105 off
• Medically necessary $25 copay Up to $210 off
Frequency
• Exam 12 Months 12 Months
• Lenses 12 Months 12 Months
• Frames 12 Months 12 Months
This is a summary of coverage only. For more information, please visit Paylocity.
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