Vision Benefits

What you need to know

The vision plan from Vision Service Plan (VSP) covers an annual eye exam and a pair of glasses or contact lenses every calendar year.

Find a participating doctor

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

Plan Features

The Vision Plan offers in- and out-of-network benefits. The chart below shows what the plan pays for care.

In-Network Coverage
Eye exam (every calendar year)
100% after $10 copay
Corrective lenses (every calendar year)
100% after $10 copay

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

Frames (every calendar year)
Up to $170, plus 20% discount after $25 copay
Contact lenses (every calendar year)
$125 allowance, plus up to $60 toward contact lens exam
Out-of-Network Coverage
Eye exam (every calendar year)
Up to $50
Corrective lenses (every calendar year)
Single vision: Up to $50

Lined bifocal and trifocals: Up to $75

Trifocals: Up to $100

Progressive: Up to $75

Frames (every calendar year)
Up to $70
Contact lenses (every calendar year)
Up to $105 when you choose contacts instead of glasses

For complete details about covered expenses, exclusions, and limitations, visit HRConnect to review the Vision Plan summary plan description (SPD) for your vision plan.

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

You may also like: