Vision
Healthy eyes and clear vision are an important part of your overall health and quality of life. You may enroll yourself and your eligible dependents or you may waive vision coverage. You do not have to be enrolled in medical coverage to elect vision coverage or cover the same dependents under medical and vision.
Although vision care services and supplies are covered in-network and out-of-network, your benefits are generally greater when you use in-network providers. Your costs are based on the family members you choose to cover.
VSP Choice Plan
Benefit Highlights
In-Network
Exams
$10 copay (and up to $39 allowance for retinal screening)
Single Vision Lenses
$10 copay
Bifocal Lenses
$10 copay
Trifocal Lenses
$10 copay
Frames
20% off balance over $275
Contacts (in lieu of glasses)
Balance over $275
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months
Out-of-Network Reimbursement
Exams
Up to $50 allowance
Single Vision Lenses
Up to $45 allowance
Bifocal Lenses
Up to $70 allowance
Trifocal Lenses
Up to $90 allowance
Frames
Up to $119
Contacts (in lieu of glasses)
Up to $190 allowance
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months
HMSA Vision Plan (Hawaii Only)
Benefit Highlights
In-Network Only
Exams
$10 copay
Single Vision Lenses
$10 copay
Bifocal Lenses
$10 copay
Trifocal Lenses
$10 copay
Frames
$15 copay
Contacts (in lieu of glasses)
Adults: $25 copay then balance over $130
Children: 50% of charge
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months