Vision Benefits - Actives

Vision Service Plan (VSP)
Customer Service Number 1 800 877-7195
www.vsp.com

Plan Choices

Plan	Cost
Plan A - Exam every year, lenses and frames every two years	$15.88/month
Plan B - Exam and lenses every year, frames every two years	$20.21/month
Plan C - Exam, lenses, and frames every year	$31.98/month

1. $25 copay for single-vision, bifocals & trifocals
2. Eye examination $25 co-pay
3. Frames 100% (retail value $120)
4. Contact lenses in lieu of frames & lenses. One pair every 12 months.
5. Cosmetic or convenience $105 allowance

VSP has an extensive nationwide network of doctors who agree to provide the finest ophthalmic care and materials to persons covered under the plan.

Information accurate for calendar year 2006