VISION

Allianz Trade is offering vision care coverage through Vision Service Providers (VSP). VSP offers a network of 30,000 doctors in 21,000 offices across the country. Participating retail chains include Sam’s Club and Walmart. Benefits are based on your use of a participating or non-participating VSP vision provider. Every 12 months you are eligible for an eye exam and lenses or contact lenses. You are eligible for frames once every 24 months in lieu of contact lenses. You can view the VSP website at www.vsp.com or by calling member services 1-800-877-7195.

Resources

VSP Vision Summary

Vision Services Providers (VSP)
Type of Benefit	Participating Doctor	Non-Participating Doctor (plan allowance less co-pay)
Exam	$10 co-pay	Up to $45
Single Vision	$25 co-pay	Up to $30
Bifocal	$25 co-pay	Up to $50
Trifocal	$25 co-pay	Up to $65
Progressive Lens	$55 co-pay	Up to $50
Frames	Up to $130	Up to $70
Contact Lenses (elective)	Up to $120	Up to $105

Associate Cost Per Pay Period Vision Rates
Plan	Associate Only	Associate & Spouse (or DP)	Associate & Child(ren)	Family
VSP Vision	$0.58	$1.04	$1.81	$1.87