Sunteți pe pagina 1din 2

Life is

better
in focus.

Keep your eyes healthy with Air Products


and Chemicals and VSP Vision Care.

Why enroll in VSP? As a member, youll receive


access to care from great eye doctors, quality eyewear,
and the affordability you deserve, all at the lowest
out-of-pocket costs.
Using your VSP benefit is easy.
Youll like what you see with VSP. Create an account at vsp.com. Once
your plan is effective, review your
Value and Savings. Youll enjoy more value and the lowest
benefit information.
out-of-pocket costs.
Find an eye doctor whos right for you.
High Quality Vision Care. Youll get the best care from a VSP network
Visit vsp.com or call 800.877.7195.
doctor, including a WellVision Examthe most comprehensive exam
designed to detect eye and health conditions. At your appointment, tell them you have
VSP. Theres no ID card necessary. If youd
Choice of Providers. The decision is yours to makechoose a VSP
like a card as a reference, you can print
doctor or any out-of-network provider.
one on vsp.com.
Great Eyewear. Its easy to find the perfect frame at a price that fits
Thats it! Well handle the restthere are no
your budget.
claim forms to complete when you see a
Without VSP+ With VSP+ VSP provider.
Save with VSP+ Coverage
Coverage Coverage
Eye Exam $168 $10 VSP EasyOptions
Frame $150 With VSP EasyOptions, you and each member
$10 on your plan can choose one of these
Single Vision Lenses $92
enhanced eyewear options when purchasing
Photochromic Adaptive Lenses $111 $70 your glasses or contacts:
Anti-reflective Coating $114 $69 An additional $100 frame allowance, or
Employee-only Annual Contribution N/A $102.48 An additional $50 contact lens allowance, or
Total $635 $261.48 Fully covered progressive lenses, or
Comparison based on national averages for comprehensive
Fully covered anti-reflective coatings, or
eye exams and most commonly purchased brands. Average Annual Savings with a Fully covered photochromic adaptive
NOTE: Dollar amounts in the savings chart are estimates
and don't reflect additional discounts from current VSP
offers and promotions.
VSP Provider:
$373.52 lenses

Enjoy Additional Savings with


EasyOptions:
$50-$175
Enroll in VSP today. Youll be glad you did.
Contact us. 800.877.7195 | vsp.com
Your VSP Vision Benefits Summary Effective Date: 01/01/2018
VSP Provider Network: VSP Choice
Air Products and Chemicals and VSP provide you a choice in your vision planchoose
the Base Plan or Buy-up Plan with VSP EasyOptions. This plan will allow you and each
VSP member on your plan to choose benefits youll use and love.

Base Plan Buy-Up Plan with VSP EasyOptions


Benefit Description Copay Benefit Description Copay
Focuses on your eyes and overall Focuses on your eyes and overall
WellVision WellVision
wellness $10 wellness $10
Exam Exam
Every calendar year Every calendar year

Prescription Glasses $10 Prescription Glasses $10


$150 allowance for a wide selection $150 allowance for a wide selection
of frames of frames
$170 allowance for featured frame $170 allowance for featured frame
Included in Included in
brands brands
Frame Prescription Frame Prescription
20% savings on the amount over 20% savings on the amount over
Glasses Glasses
your allowance your allowance
$80 allowance at Costco $80 allowance at Costco
Every calendar year Every calendar year
Single vision, lined bifocal, and lined Single vision, lined bifocal, and lined
trifocal lenses Included in trifocal lenses Included in
Lenses Polycarbonate lenses for dependent Prescription Lenses Polycarbonate lenses for dependent Prescription
children Glasses children Glasses
Every calendar year Every calendar year
Standard progressive lenses $55 Standard progressive lenses $55
Premium progressive lenses $95 - $105 Premium progressive lenses $95 - $105
Lens Lens
Custom progressive lenses $150 - $175 Custom progressive lenses $150 - $175
Enhancements Enhancements
Average 20%-25% savings on other Average 20%-25% savings on other
lens enhancements lens enhancements

$150 allowance for contacts; copay $150 allowance for contacts; copay
Contacts does not apply Contacts does not apply
(instead Contact lens exam (fitting and Up to $60 (instead Contact lens exam (fitting and Up to $60
of glasses) evaluation) of glasses) evaluation)
Every calendar year Every calendar year

You and each member on your plan can choose


one of these enhanced eyewear options when
VSP purchasing your glasses or contacts: an additional
EasyOptions $100 frame allowance, or an additional $50 contact
lens allowance, or fully covered progressive lenses,
or fully covered photochromic adaptive lenses,
or fully covered anti-reflective coatings.

Services related to diabetic eye disease, glaucoma and age-related macular degeneration (AMD). Retinal
VSP Diabetic
screening for eligible employees with diabetes. Limitations and coordination with medical coverage may apply.
Eyecare Plus $20
Ask your VSP doctor for details.
ProgramSM
As needed

Glasses and Sunglasses


Extra $20 to spend on featured frame brands. Go to vsp.com/specialoffers for details.
20% savings on additional glasses and sunglasses, including lens enhancements, from any VSP provider within 12 months of
your last WellVision Exam
Extra Savings
Laser Vision Correction
Average 15% off the regular price or 5% off the promotional price; discounts only available from contracted facilities
Retinal Screening
No more than a $39 copay on routine retinal screening as an enhancement to a WellVision Exam

Your Coverage with Out-of-Network Providers


Visit vsp.com for details, if you plan to see a provider other than a VSP network provider.
Exam......................................... up to $45 Single Vision Lenses............up to $30 Lined Trifocal Lenses...........up to $65 Contacts..................................up to $105
Frame....................................... up to $70 Lined Bifocal Lenses............up to $50 Progressive Lenses..............up to $50
Coverage with a participating retail chain may be different. VSP guarantees coverage from VSP providers only. Eyeconic is not an in-network provider. Coverage information is subject to change. In
the event of a conflict between this information and your organizations contract with VSP, the terms of the contract will prevail. Based on applicable laws, benefits may vary by location.

Contact us 800.877.7195 I vsp.com


2017 Vision Service Plan. All rights reserved.
VSP, VSP Vision care for life, WellVision Exam, and Eyeconic are registered trademarks, Life is better in focus. is a trademark and VSP Diabetic Eyecare Plus Program is a service mark of Vision Service
Plan. All other company names and brands are trademarks or registered trademarks of their respective owners. 10995 VCCM

S-ar putea să vă placă și