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 Vision Plan
Benefit Highlights
In-Network
Exams
$0
Single Vision Lenses
$0
Lined Bifocal Lenses
$0
Lined Trifocal Lenses
$0
Frames
Up to $250
Contacts (in lieu of glasses)
Up to $300
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 $45
Single Vision Lenses
Up to $30
Lined Bifocal Lenses
Up to $50
Lined Trifocal Lenses
Up to $65
Frames
Up to $70
Contacts (in lieu of glasses)
Up to $271
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months
Semi-Monthly Plan Cost
Employee Only: $0.00
Employee and Spouse: $1.59
Employee and Child(ren): $1.82
Employee and Family: $3.85
HMSA Vision Plan (Hawaii Only)
Benefit Highlights
In-Network
Exams
Up to $10
Single Vision Lenses
Up to $25
Bifocal Lenses
Up to $25
Trifocal Lenses
Up to $25
Frames
100% up to $110
Contacts (in lieu of glasses)
100% up to $110
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Out-of-Network Reimbursement
Exams
Up to $35
Single Vision Lenses
Up to $25
Bifocal Lenses
Up to $40
Trifocal Lenses
Up to $55
Frames
Up to $55
Contacts (in lieu of glasses)
Up to $55
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Semi-Monthly Plan Cost
HMSA vision plan costs included in HMSA medical plan.