Vision Benefits

What you need to know

The vision plan from Vision Service Plan (VSP) helps cover an annual eye exam and a pair of glasses or contact lenses every calendar year for you and any family member on your plan. Although you can receive care from any vision service provider you choose, you’ll always pay less when you see a participating VSP provider.

Find a participating doctor

You’ll maximize your benefits and pay less out of pocket when you see a VSP doctor.

Plan Features

Unless indicated, amounts shown are what the plan pays.

In-Network Coverage
Eye exam (every 12 months)
100% after $10 copay
Corrective lenses (every 12 months)
100% after $10 copay for lenses, $25 copay for frames[1]

Standard progressive: $50
Premium progressive: $80–$90
Custom progressive: $120–$160

Frames (every 12 months)
Up to $170, plus 20% discount
Contact lenses (every 12 months) [2]
$125, plus 15% discount on VSP doctor services
Out-of-Network Coverage
Eye exam (every 12 months)
Up to $50
Corrective lenses (every 12 months)
Single vision: Up to $50

Lined bifocal, trifocals: Up to $75

Trifocals: Up to $100

Progressive: Up to $75

Frames (every 12 months)
Up to $70
Contact lenses (every 12 months) [2]
Up to $105

[1] Standard lenses, including glass or plastic single vision, bifocal, or trifocal and polycarbonate lenses for dependent children.

[2] When you select contact lenses instead of glasses.

For additional details about covered services, exclusions, and limitations, visit HRConnect to view the summary plan description (SPD).

Connect with…

HRConnect
Monday–Friday,
7:30 a.m. to 5 p.m. ET
844-543-2147
203-200-3838 (fax)
Website
Choose the YNHH_PRD option

Vision Service Plan (VSP)
800-877-7195
Website

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