Vision

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PCOC understands the importance of taking care of your eyesight. The vision plan promotes preventive care through regular eye exams and early corrective treatment. The vision plan is insured by VSP.

  • If you enroll for coverage within your initial eligibility period, your coverage will be effective on the first of the month coinciding with or next following 30 days of full-time employment.
  • If you do not enroll for coverage within your initial eligibility period, you may enroll for coverage during the next annual open enrollment period or within 31 days of a qualifying event (as outlined in Making Changes During the Year).

Your Cost

Your cost is generally deducted from your pay on a pretax basis. Contributions for domestic partners are generally deducted on an after-tax basis, unless otherwise permitted by state or federal law. Refer to Employee Contributions for the applicable cost.

Find a Vision Provider

Click here to find a Vision Provider in your area and follow the steps below:

  1. Select your Search Criteria: Search by Location, Search by Doctor or Search by Office Name
  2. You can also click on Advanced Search for more options
  3. To receive the highest discounts, be sure to select a vision provider that participates in the “Choice” Doctor Network
Using an In-Network Versus an Out-of-Network Provider
The plan gives you a choice when it comes to receiving eye care. You may receive services from either VSP Choice or out-of-network providers. Although you are not required to use VSP Choice doctors, your out-of-pocket costs will be lower when in-network doctors are used. This table compares some of the key differences between receiving care from an in-network versus an out-of-network provider.
Whether you use an in-network or out-of-network provider, benefit authorization is required before you receive services.
Using an In-Network Versus an Out-of-Network Provider
The plan gives you a choice when it comes to receiving eye care. You may receive services from either VSP Choice or out-of-network providers. Although you are not required to use VSP Choice doctors, your out-of-pocket costs will be lower when in-network doctors are used. This table compares some of the key differences between receiving care from an in-network versus an out-of-network provider.
Whether you use an in-network or out-of-network provider, benefit authorization is required before you receive services.
Using an In-Network Versus an Out-of-Network Provider
Provider
Benefit Authorization
Benefits
Claims
Additional Discounts and Savings
Whether you use an in-network or out-of-network provider, benefit authorization is required before you receive services.
Using an In-Network Versus an Out-of-Network Provider
In-Network
Must use a VSP in-network (Choice) provider
Your in-network doctor obtains authorization from VSP when you make your appointment and identify yourself as a VSP member
The plan pays a higher benefit level, which means less out-of-pocket cost for you
Your provider files claims on your behalf
Available, which means your share of the cost for additional purchases will be less (e.g., LASIK surgery, etc.)
Whether you use an in-network or out-of-network provider, benefit authorization is required before you receive services.
Using an In-Network Versus an Out-of-Network Provider
In-Network
Must use a VSP in-network (Choice) provider
Your in-network doctor obtains authorization from VSP when you make your appointment and identify yourself as a VSP member
The plan pays a higher benefit level, which means less out-of-pocket cost for you
Your provider files claims on your behalf
Available, which means your share of the cost for additional purchases will be less (e.g., LASIK surgery, etc.)
Whether you use an in-network or out-of-network provider, benefit authorization is required before you receive services.
Using an In-Network Versus an Out-of-Network Provider
Out-of-Network
Use any licensed eye care provider outside the VSP network
See out-of-network provider and submit for reimbursement
The plan pays a lower benefit level, which means more out-of-pocket cost for you
You must file your own claims with VSP
Not available
Whether you use an in-network or out-of-network provider, benefit authorization is required before you receive services.
Using an In-Network Versus an Out-of-Network Provider
Out-of-Network
Use any licensed eye care provider outside the VSP network
See out-of-network provider and submit for reimbursement
The plan pays a lower benefit level, which means more out-of-pocket cost for you
You must file your own claims with VSP
Not available
Whether you use an in-network or out-of-network provider, benefit authorization is required before you receive services.

VSP Exclusive Member Extras and Discounts

Save 30-60% on hearing aids with VSP and TruHearing: TruHearing offers significantly reduced out-of-pocket costs on hearing aids for all VSP members and their families (including parents). You can combine these discounts with your medical plan insurance to further minimize your out-of-pocket expenses. For more information, visit http://vsp.truhearing.com or call (877) 396-7194.

For additional savings, visit www.vsp.com/specialoffers: Discover great deals on glasses, sunglasses, contact lenses, LASIK, diabetic care supplies with home delivery, medical bill analysis and payment negotiation, gym memberships, veterinary advice, theme parks, movie tickets, travel offers and much more.

Summary of Vision Plan Provisions

The following chart summarizes the key features of the 2024 vision plan available to you and your dependents. To receive the highest level of benefits, you should use in-network providers and fully understand what is expected of you.

PCOC Vision Plan
Key Features
Annual Copay
- Exam
- Materials
Vision Exam (once every 12 months)
Lenses (complete set, not per lens; once every 12 months)
- Single vision
- Bifocal
- Trifocal
- Lenticular
Frame (once every 24 months)
- Wide selection
- Costco, Walmart and Sam’s Club
Contact Lens Evaluation and Fitting (Once every 12 months)
Optional Lens Extras are covered in full
Scratch-resistant coating, ultraviolet protected lenses, mirror coating, polycarbonate lenses, anti-reflective coating
PCOC Vision Plan
VSP Choice Plan B
In-Network
You Pay

$20
$20
Plan Pays
100%

-
100%
100%
100%
100%

Up to $150
Up to $80
Up to $150
Optional Lens Extras are covered in full
Scratch-resistant coating, ultraviolet protected lenses, mirror coating, polycarbonate lenses, anti-reflective coating
PCOC Vision Plan
VSP Choice Plan B
Out-of-Network
You Pay

Copays do not apply
Plan Pays
Up to $45

-
Up to $30
Up to $50
Up to $65
Up to $100

Up to $70
Up to $105
Optional Lens Extras are covered in full
Scratch-resistant coating, ultraviolet protected lenses, mirror coating, polycarbonate lenses, anti-reflective coating

This summary is provided for general information only. Refer to the specific plan documents available on Forms and Documents for detailed information on complete plan provisions, exclusions and limitations.

VSP Website and Newsletter

www.vsp.com
http://vspenvisionnewsletter.com

You can connect to www.vsp.com to find a doctor, view personalized benefit information, and access the latest eye health and wellness information.

Also, be sure to check out VSP’s newsletter at http://vspenvisionnewsletter.com to learn about special offers and rebates, tips and trends, and answers to frequently asked eye health questions.

Member Services
VSP

Group # 12265418-1010

(800) 877-7195

www.vsp.com

Questions or need help?
Contact the PCOC Benefits Service Center

(855) 726-2291

pcocbenefits@teamcreativa.com

Vision Forms and Documents