Page 16 - TCM EE Guide 2019 v2 FINAL

Vision Plan

VSP | Vision Plan
Teacher Created Materials provides vision coverage through VSP. You can see an VSP in-network provider or an
out-of-network provider, however, your costs will be lower if you visit an in-network provider. If you visit an in-
network provider you will be responsible for a copayment at the time of your service. If you receive services from
an out-of-network doctor, you will pay all costs at the time of service and submit a claim for reimbursement.

VSP
Plan Name PPO
Network Name VSP Choice Non-Network

Vision Benefits
Copay
- Examination $20 Copay N/A
- Materials $20 Copay N/A
Examination (Every 12 Months) No Charge Up to $45 Reimbursement
Lenses (Every 12 Months)
- Single Vision No Charge Up to $30 Reimbursement
- Bifocal No Charge Up to $50 Reimbursement
- Trifocal No Charge Up to $65 Reimbursement
Frames (Every 24 Months) $130 Benefit, Up to $70 Reimbursement
then 20% Discount
Contact Lenses (Every 12 Months) (in lieu of frames and lenses)
- Contacts $130 Benefit Up to $105 Reimbursement
- Exam (Fitting / Evaluation) $60 Copay Not Covered
Laser Vision Correction Discounts Apply Not Covered

Finding a Vision Provider
Go to www.vsp.com or call (800) 877-7195. Refer to the “VSP Choice”
network when prompted.

VSP has the largest network of private-practice eye care doctors in the
industry. VSP’s network includes 50,000 access points nationwide. VSP also
contracts with Costco Optical, Visionworks, and other affiliate retail
providers. Please note, benefits may vary at affiliate locations.

TruHearing Hearing Aid Discount Program
As a VSP member, you have access to the TruHearing Hearing Aid Discount Program at no
cost to you. You’ll get:
 3 provider visits for fitting, adjustments, and cleanings
 Up to 60% off on Digital Hearing Aids
 A 45-day money back guarantee
 3-year manufacturer’s warranty for repairs and one-time loss and damage
 48 free batteries per hearing aid

Getting Started
Call (877) 396-7194.

16 Employee Benefits