Vision Benefits

Benefit Description

This benefit is available if You are covered under the Self-Funded Medical Indemnity PPO Plan, the Kaiser Permanente Plan. The vision benefits are provided through a contract with Vision Service Plan (VSP).

Benefit Summary

When Using A VSP Doctor
Exam (every 12 months) covered in full
Prescription lenses (every 24 months) covered in full
Frames (every 24 months) covered up to $130, plus 20% of any out-of-pocket costs
Contact lenses (instead of glasses, every 24 months)
  • Up to $60.00 copay for your contact lens exam (fitting and evaluation)
  • $130.00 allowance for contacts
Extra Discounts & Savings
Laser Vision Correction Discounts
  • Average 15% off the regular price or 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.
Up to 20% savings on lens extras such as scratch-resistant and anti-reflective coatings and progressives.20% off additional prescription glasses and sunglasses*
Contacts* 15% off the cost of contact lens exam (fitting and evaluation)
*Available from the same VSP doctor who provided your eye exam within the last 12 months
Copays
Exam $10
Prescription glasses $25
Contacts Up to $60 copay
Out Of Network Reimbursements
Exam $50
Single vision lenses $50
Lined bifocal lenses $75
Lined trifocal lenses $100
Frame $70
Contacts $105

Documents

Useful Links