Plan Details
Plan Name Vision
Description All Employees
Carrier VSP
Effective Dates January 1, 2020 to January 1, 2021
In-Network Benefits Out-of-Network Benefits
Examination $10 copay Up to $45
Materials $25 copay
Covered Services
Frames Covered up to $130 Up to $70
Single Vision Lens 100% Up to $30
Contact Lenses
Elective Up to $130 Elective Contact Lens fitting and evaluation** services are covered in full once every 12 months, after a maximum $60 copayment Up to $105