Nemours Children’s offers a Voluntary Vision program through Vision Service Plan (VSP) on a pre-tax basis. There are two levels: the Base option and the Premium option. The Vision Plan is a PPO Plan, and offers you the freedom to seek care from any provider that you wish. If you use an in-network (participating) provider, you will generally pay a co-pay. If you utilize an out-of-network provider, you may be reimbursed up to the amounts shown in the chart below. Children are covered with the associate.
| Benefits | Standard | Premium |
|---|---|---|
| Eye Exam | $10 co-pay | $10 co-pay |
| Single Vision, Lined Bi-focal, Lined Tri-focal and Lenticular Lenses | $25 co-pay | $25 co-pay |
| Progressive Lenses | $0 – $175 co-pay, depending on type of lenses | $0 – $175 co-pay, depending on type of lenses |
| Frame | $130 – $150 allowance, 20% discount on balance, ($70 Costco & Walmart/Sam’s Club allowance) | $180 – $200 allowance, 20% discount on balance, ($100 Costco & Walmart/Sam’s Club allowance) |
| Contact Lens Services (exam & fitting) | Up to $60 co-pay | Up to $60 co-pay |
| Contacts (instead of glasses) | $120 allowance | $150 allowance |
| Out-of-Network Benefits | ||
|---|---|---|
| Exam — up to $40 | Lined Bifocal Lenses — up to $50 | Progressive Lenses — up to $50 |
| Frame — up to $70 | Lined Trifocal Lenses — up to $65 | Contacts — up to $105 |
| Single Vision Lenses — up to $30 | ||
To Utilize Your VSP Benefits:
- Consult your Vision Plan booklet for coverage details.
- Find a VSP doctor online or by phone 24-hours-a-day.
- Make an appointment with a VSP doctor and identify yourself as a VSP member.
There is no ID card, so be sure to identify that you are a VSP member. Your provider will take care of the rest.
NOTE: Our Medical Plan also includes a Vision Discount Program, and covers one eye exam every 12 months; however, you must use an Aetna participating ophthalmologist or optometrist. Your Medical and VSP discounts cannot be combined.