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Vision Care Benefits

Your Vision Care benefits are provided through Vision Service Plan. Their Web address is at www.vsp.com. It has many great features, including a section to find a VSP doctor in your area. These vision benefits are only for members in the PPO plan. If you have Kaiser, your benefits are provided through Kaiser.

 

Benefit Summary

EXAM & CORRECTIVE LENSES
Exam (every 12 months) covered in full
Prescription lenses (every 24 months) covered in full
Frames (every 24 months) $130 allowance. You pay 80% over.
OR
Contact Lens Care (every 24 months) $105 allowance. You pay 100% over.
COPAYS
Exam $10
Prescription glasses $25
Contacts no copay
OUT-OF-NETWORK REIMBURSEMENT AMOUNTS
Exam $45
Lenses:
-Single Vision
-Lined Bifocal
-Lined Trifocal
-Frame
-Contacts

$45
$65
$85
$47
$105

 

www.uastpa.com