Vision Benefits

WellVision Exam

$20 Copay

Every 12 months

Contact Lens Exam,
Fitting, and Evaluation

$20 Copay

Not to exceed $60

Frames

$20 Copay
$150 Allowance
20% off amount over allowance

Every 12 months

Lenses

$20 Copay
$150 Allowance

Contact Lenses (instead of glasses)
Elective
Necessary

$150 Allowance
Covered in full up to allowance
Covered in full after Copay

Every 12 months

VSP LightCare
Non-prescription blue light filtering glasses or sunglasses

Covered in full after Copay, up to frame allowance

Employee

$4.63

Employee + Spouse

$7.40

Employee + Child(ren)

$7.55

Family

$12.14