Moosilauke Visions offers a vision program for you and your covered family members through the VSP network.
Eye exams can tell your doctor a lot about your overall health. It’s important to schedule regular exams to help detect significant medical conditions before they become serious. VSP’s vision care benefits include coverage for eye exams, standard lenses and frames, and contact lenses and discounts for laser surgery.
Vision Plan Overview
| Benefit Description | In-Network | Out-of-Network |
|---|---|---|
| Copay (per person) | Examination - $10 copay Materials - $25 copay | Examination - Up to $50 reimbursed |
| Frequency Limits Exams Lenses Contacts Frames | 12 months 12 months 12 months 24 months | 12 months reimbursed 12 months 12 months 24 months |
| Exams | $10 copay | Up to $50 reimbursed |
| Single Vision Lenses | $25 copay | Up to $50 reimbursed |
| Bifocal Lenses | $25 copay | Up to $75 reimbursed |
| Trifocal Lenses | $25 copay | Up to $100 reimbursed |
| Frames | $25 copay | Up to $70 reimbursed |
| Elective Contact Lenses (instead of prescription glasses) | $150 allowance | Up to $105 reimbursed |
Employees can elect the medical and prescription drug plan without enrolling in the dental or vision plan.
Biweekly Employee Payroll Contributions
| Employee | Employee & Spouse | Employee & Child(ren) | Employee & Spouse & Child(ren) (Family) |
|
|---|---|---|---|---|
| Vision | $3.95 | $6.31 | $6.45 | $10.40 |
