Vision Plan Options
Your vision plan choices are:
Tuality provides the Vision Discount Plan to all employees at no cost to you. You may elect to purchase coverage for your family members under the Discount Plan, or you may elect to purchase the Service Plan for yourself only, or for yourself and your family members.
There is no cost for employee-only coverage under this plan, but you will be required to pay for the cost of coverage for your spouse/dometic partner or children. The Discount Plan provides benefits every calendar year for exams, and you must receive all care from a provider participating in the VSP network. You pay only a $25 copay for exams. You may purchase hardware (lenses, frames, contacts) at discounted prices.
The Service Plan allows you to see any provider, but the plan pays higher benefits when you receive care from a provider in the VSP network. The Service Plan provides benefits every calendar year for exams and hardware. For exams, you pay a $25 copay for care received from any provider, but if you use a non-VSP provider, the plan will only pay up to $50 toward the cost of the exam.
For eyewear, you pay a $25 copay, plus anything that exceeds the amounts shown in the schedule below. Since the Service plan provides hardware benefits, your cost for enrolling in the Service Plan is higher.
Highlights of Vision Plan Options
|Services||Discount Plan||Service Plan|
|Choice of Provider||Must use VSP Provider.||May use any qualified provider. The plan pays higher benefits when you use a VSP provider.||In-Network||Out-of-Network*|
|$25 co-pay.||$25 co-pay.||Plan re-imburses up to $50 minus a $25 copayment.|
|Lenses & Frames||You are eligible for a discount of up to 20% off VSP doctors’ usual and customary charges on lenses and frames.||$25 copay for select lenses and frames. Lenses covered in full, frames covered up to $175 allowance.||Plan re-imburses up to the following minus a $25 copayment:
|Contacts - Elective||You are eligible for a discount of up to 15% off associated professional services.||Plan pays up to $175.||Plan re-imburses up to $105 minus a $25 copayment.|
|15% off VSP doctors’ usual and customary fees.||Covered in full.||Plan re-imburses up to $210 minus a $25 copayment.|
*Note: When receiving services from a non VSP network provider, you are required to pay for services in full and have 60 days from date of service to submit receipt for partial reimbursement as indicated.