Christiana Care Health System

Vision Benets
NEW VOLUNTARY BENEFIT
Administered through VSP Vision Care
VSP Vision Care is a new voluntary beneft for all benefts eligible Christiana Care employees. VSP
provides you access to affordable vision care through their VSP doctor network. The effective date
for the VSP Plan begins July 1, 2011.
CHOICE OF PROVIDERS
VSP Vision Care offers coverage for any eyecare provider, so
you can choose the one thats right for you. Visit vsp.com or call
(800) 877-7195 to choose a VSP doctor or fnd out the coverage
details if you wish to see a provider other than a VSP doctor.
PER PAY CONTRIBUTION RATES
The rates per pay are as follows:
Employee only $2.04
Family $6.97
Your Coverage with Other Providers
Visit vsp.com for details, if you plan to see a provider other than a VSP doctor.
Exam ..................up to $45 Single Vision Lenses ......... up to $30 Lined Trifocal Lenses ............. up to $65
Frame .................up to $70 Lined Bifocal Lenses ........ up to $50 Contacts ................................ up to $105
*Coverage with a retail chain afliate may be different. Visit vsp.com for details.
Coverage information is subject to change. In the event of a conict between this information and your organizations contract with VSP, the terms
of the contract will prevail.
COVERAGE DETAILS
VSP Coverage Effective Date: 07/01/2011 VSP Doctor Network: VSP Choice
Benet Description Copay Frequency
Your Coverage with VSP Doctors and Afliate Providers*
WellVision Exam Focuses on your eyes and overall wellness $10 Every 12 months
Prescription Glasses $20 See Frame and Lenses
Frame
$150 allowance for a wide selection of frames
20% off amount over your allowance
Included in
Prescription
Glasses
Every 24 months
Lenses
Single vision, lined bifocal, and lined trifocal lenses
Polycarbonate lenses for dependent children
Included in
Prescription
Glasses
Every 12 months
Lens Options
Standard progressive lenses
Premium progressive lenses
Custom progressive lenses
Average 20 25% off other lens options
$55
$95-$105
$150-$175
Every 12 months
Contacts
(instead of glasses)
$150 allowance for contacts and contact lens exam
(tting and evaluation)
15% off contact lens exam (tting and evaluation)
$0 Every 12 months
Extra Savings
and Discounts
Glasses and Sunglasses: 20% off additional glasses and sunglasses, including lens options, from any VSP doctor within
12 months of your last WellVision Exam.
Contacts: Current contact lens wearers may qualify for a program that includes a contact lens exam and initial supply
of replacement lenses.
Laser Vision Correction: Average 15% off the regular price or 5% off the promotional price; discounts only available
from contracted facilities