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MY HEALTH
Vision – We Will Offer Two Options for 2019!
VSP will continue to be a vision provider for 2019, and there will be an additional plan provided by United Healthcare. Monthly contribution tiers are changing from 3 tiers to 4 tiers.
NEW
VSP
www.VSP.com
800-877-7195
Go to “Find a Doctor” at
www.VSP.com
Use Plan ID: 12129690
United Healthcare Go to “provider quick search” at www.uhcvision.com 800-638-3120
Use Plan ID: 915335
Vision Plan Monthly Contribution
WHO TO CALL
VSP
UHC
Associate Only
$9.81
$4.74
Associate + Child(ren)
$16.60
$10.54
Associate + Spouse
$14.29
$8.99
Associate + Family
$25.62
$14.83
*Benefits and Discounts for Your Vision Care Needs – You receive the highest level of benefits when you use providers that participate in the network.
2019 Vision Plan
Eye Exam Lenses
Frames
Contact Lenses
First time contact wearers, or current wearers with special needs or materials, evaluation fees and fitting cost
Laser Vision
*Only one materials copay applies for complete set of glasses (lenses & frames)
In-Network
VSP
Out-of-Network
In-Network
UHC
Out-of-Network
Frequency: one per calender year
Frequency: once every 12 months
$10 copay
$50 $150
$10 copay
Up to $40
$25 copay*
NOTE: Polycarbonate lenses for children under 19 are covered in full at an In-Network provider
Plan reimburses up to: Single: $50 / pair Bifocal: $75 / pair Trifocal: $100 / pair Lenticular: $125 / pair
$25 copay
NOTE: Standard Scratch
resistant coating, polycarbonate lenses for dependent children (up to 19) covered in full
Up to: Single: $40 / pair Bifocal: $60 / pair Trifocal: $80 / pair Lenticular: $80 / pair
Plan pays up to $130 retail*
Plan reimburses up to $75 / pair
$130 retail frame allowance (after $25 co-pay)
Up to $45
• Evaluation and fitting: up to $60
• Medically necessary contact in lieu of glasses, covered in full
• Elective: up to $120
• 15% off the cost of contact exam (evaluation & fitting)
• Medically necessary contact in lieu of glasses, reimbursed up to $210
• Elective: reimbursed up to $105
• Evaluation and fitting: up to $60
• Medically necessary contact cover after $25 copay
• Elective: up to $130
• Medically necessary contact in lieu of glasses, reimbursed up to $210
• Elective: reimbursed up to $105
Discount Available
None
Discount Available
None
How to Find a Provider: VSP
VSP has a broad network with many providers offering evening and weekend hours. To find a provider in your area that meets your needs:
• Call VSP Member Services at 800-877-7195, OR
• Refer to Plan ID: 12129690
Visit www.vsp.com and click on Find a Doctor.
VSP is also expanding its network through retail chain affiliates, including Costco. With Costco’s deep discount, VSP offers a $70 allowance on frames – frames at other retail affiliates are covered at the In-Network level shown in the chart above.
Visit www.vsp.com for more information.
How to Find a Provider: UHC
To find more information on UHC providers, go to myuhcvision.com and go to “Provider Quick Search.” Enter the required information, and find the best fit for you.
18 Applied Choices – 2019
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