Supplemental Vision Insurance

Supplemental Vision Insurance with Vision Service Plan

All benefit-eligible employees can elect to enroll in the Vision Service Plan (VSP) vision plan.

This plan can supplement the Blue View Vision included with the Anthem medical plans or the Kaiser Vision Essentials with your Kaiser Permanente medical plan. Employees can also enroll in VSP without participating in a PWCS medical plan.

For additional details on your plan or to register your VSP account, call 1-800-877-7195 or visit the VSP website.

Vision Service Plan website

Find Participating Providers

Summary of Vision Benefits

Benefit	Description	Copay	Frequency
Well Vision Exam	Focuses on your eyes and overall wellness	$20	Every Calendar Year
Prescription Glasses		$20	See Frames and Lenses
Frames	$250 allowance for selected frames $270 allowance for featured frame brands 20% savings on the amount over allowance $135 Costco or Walmart frame allowance	Included in prescription glasses	Every other calendar year
Lenses	Single Vision, lined bifocal, and lined trifocal lenses Polycarbonate lenses for dependent children	Included in prescription glasses	Every calendar year
Lens Enhancements	Standard progressive lenses Premium progressive lenses Custom progressive lenses Average savings of 34%-40% on other lens enhancements	$0 $80-$90 $120-$160	Every calendar year
Contacts (Instead of glasses)	$200 allowance for contacts and contact lens exam (fitting and evaluation) 15% savings on a contact lens exam (fitting and evaluation)	$0	Every calendar year
Diabetic Eye Care Plus Program	Services related to diabetic eye disease, glaucoma and age-related macular degeneration (AMD), retinal screening for eligible members with diabetes. Limitations and coordination with medical coverage may apply. Ask your VSP doctor for details.	$20	As needed
Extra Savings	Glasses and Sunglasses Extra $20 to spend on featured frame brands. Go to vsp.com/special offers for details 30% savings on additional glasses and sunglasses, including lens enhancements from the same VSP provider on the same day as your WellVision Exam. Or get 20% from any VSP provider within 12 months of your last WellVision Exam. Retinal Screening No more than a $39 copay on routine retinal screening as an enhancement to a WellVision Exam Laser Vision Correction Average 15% off the regular price of 5% off the promotional price; discounts only available from contracted facilities After surgery, use your frame allowance (if eligible) for sunglasses from any VSP doctor

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