VISION

When you elect Vision coverage you have:

Access to one of the largest panels of eye care professionals through the VSP network
$10 copay for in-network routine evaluation
$120 allowance for frames, plus 20% off any remaining balance

VSP Signature Vision Plan	In-Network
Exam Copay	$10 copay
Materials	$25 Copay
Lenses Copay	$25 copay
Frame Benefit	$120 allowance + 20%
Benefit Frequency Examination Lenses Frames Contacts	Every 12 months Every 12 months Every 24 months Every 12 months

Rates	Employee Cost Per Pay
Employee Only	$5.75
Employee plus Spouse	$9.19
Employee plus Child(ren)	$9.35
Full Family (employee, spouse, child(ren))	$15.10