2013 benefits open enrollment guide - Jones Lang LaSalle

Vision – Two Options
When you enroll in one of the medical plan options, you are automatically eligible for one eye exam every
calendar year. This exam should be billed though your medical plan. There is no benefit for glasses or
contact lenses. For more information on coverage please refer to your medical plan section in the Benefits
Summary Guide on Connect.
Save on vision expenses
• Visit providers in the VSP network
for the greatest savings.
• Use your HSA or FSA to pay for
your out-of-pocket vision expenses.
Enroll for additional vision coverage through Vision Services Plan (VSP) and receive additional,
comprehensive vision benefits.
NO ID CARDS ARE ISSUED.
Employee monthly contribution
Feature VSP Provider Non-VSP Provider
Your monthly contribution Employee: $7..34
Employee +1: $10.45
Family: $18.73
How to obtain benefits
Employee: $7.34
Employee +1: $10.45
Family: $18.73
Schedule an appointment with a VSP doctor of your choice. You may have an exam
every 12 months and may obtain frames every 24 months and lenses every 12 months
OR contact lenses every 12 months. You do not need an ID card.
To find a VSP doctor near you, call +1 800 877 7195 or visit the VSP website at www.
vsp.com.
Eye exam You pay $10 Reimbursement up to $25 for exam
Glasses
Contact lenses
You pay $20 for glasses (lenses and
frames) up to a frame value of $170.
For frames more than $170, you pay the
difference less a 20% discount on any
amount over $170.
The plan pays up to a certain scheduled
amount for lenses and frames. You are
responsible for the difference.
Claim submission is required.
Plan provides $130 allowance toward the full cost. Medically necessary contact lenses
are covered in full.
Laser vision correction Plan offers a discount. Contact VSP at +1 800 877 7195
VSP
+1 800 877 7195
www.vsp.com
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