VISION BENEFITS
Vision Plan
iSleep is offering you vision coverage with VSP through Principal. With this plan, you can see any vision provider you wish for vision care services. When you obtain services from providers who participate in the VSP Vision network, your coverage benefit is greater. When you obtain services from providers who do not participate in the network, your out-of-pocket expenses will be higher since VSP Vision pays a set dollar allowance for out-of-network claims.
Using VSP Vision is easy! With open access to see any eyecare provider, you can see the one who’s right for you.
Benefits
Frequency of Covered Services
Exam
Every 12 months Every 12 months Every 12 months Every 12 months
Lenses
Contacts (in lieu of glasses)
Frames Copay
$10 eye exam | $ 25 eyewear | $60 contacts
Network
Out-of-Network
Exams: Lenses: Single
Covered 100% after copay
$45 allowance
Covered 100% after copay Covered 100% after copay Covered 100% after copay
$30 allowance $50 allowance $65 allowance
Lined Bifocal Lined Trifocal
Contacts (in lieu of glasses) Medically Necessary
Covered 100% $200 allowance
$210 allowance $105 allowance
Elective
Frames
$200 allowance
$70 allowance
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