Overview
While this voluntary benefit is fully employee-paid, UVM has negotiated competitive group rates which are more affordable than non-group rates. The plan provides coverage for eye exams and either glasses or contact lenses, among other benefits.
| Service | Copay | In-Network Allowance | Out-of-Network Allowance |
|---|---|---|---|
| Vision Exam (once a year) | $0 | Covered in full | Up to $45 in reimbursement |
| Lenses | $20 for materials | Single vision, lined bifocal, lined trifocal or lenticular lenses and standard progressive lenses covered in full. | Up to $30, $50, $65, $100 reimbursement for Single, Bifocal, Trifocal, Lenticular |
| Frames (once every other plan year) | $20 for materials | $150 allowance for standard frames; $200 for featured brands and 20% savings on the amount over the allowance. | Up to $70 reimbursement, less any applicable co-payment. |
| Elective contact lenses (once a year) | $60 maximum copay (fitting and evaluation) | $150 allowance for contacts. When contact lenses are obtained, the covered person shall not be eligible for lenses and frames again for one plan year. | Up to $105 reimbursement |
No ID card is required for this plan. However, your eye care provider will need your plan ID number. Find out more about your plan ID number, VSP benefits, and how to view your in-network coverage in the VSP Vision Plan Benefits Summary (PDF).
Don’t wear prescription glasses? Vision benefits may still be useful. The VSP plan offers coverage for non-prescription sunglasses and blue light filtering glasses to defend against digital eye strain. Details available on the VSP Light Care Coverage (PDF).
Premium (100% Employee-Paid)
| Employee | Employee + Spouse | Employee + Children | Employee + Family |
|---|---|---|---|
| $7.26 | $14.51 | $13.68 | $22.77 |
Other Vision Discounts
If you are enrolled in any UVM Medical Coverage, you receive the following benefits when using a Vision Service Plan Network provider:
- One examination per calendar year with a $20 co-pay
- 20% savings on a complete pair of prescription glasses and sunglasses from any VSP provider within 12 months from your last vision exam
- 15% savings on a contact lens fitting and evaluation
Additionally, Northeast Delta Dental offers a free Vision Discount Program through EyeMed when you present your Delta Dental membership card to an EyeMed provider. This service provides a discount of up to 35% off eyewear and is free to all Northeast Delta Dental subscribers and their dependents.