Vision

Vision Benefits
OVERVIEW

Vision

To help keep your vision strong and eyes healthy, vision coverage from Informatica covers annual exams, glasses, and contacts. The coverage saves you money on eligible vision care expenses.
Key features of the coverage include:

Eye exam covered every calendar year (copay applies)
Coverage for prescription glasses or contact lenses
Wide network of providers
Enhanced plan offers the option for a second pair of glasses or contacts in the same calendar year

Tools and Resources

Plan Documents

VSP websiteFor assistance with your vision coverage, please contact VSP at 800-877-7195.

Group ID # 12074384

	VSP Core Vision Plan		VSP Enhanced Vision Plan
	In Network	Out of Network	In Network	Out of Network
Exam	$10 copay	Up to $50	$10 copay	Up to $50
Materials fee for glasses	$25 copay		Included in exam copay
Frames	$150 allowance, then 20% off remaining balance over $150$80 Walmart/Sam's Club/Costco frame allowance	Up to $70	$250 allowance, then 20% off remaining balance over $250$135 Walmart/Sam's Club/Costco frame allowance	Up to $70
Lenses Single vision Bifocal Trifocal Antireflective	$0 copay $0 copay $0 copay N/A	Up to $50 Up to $70 Up to $100 N/A	$0 copay $0 copay $0 copay $25 copay	Up to $50 Up to $70 Up to $100 N/A
Second Pair of Glasses	Not Covered		Second pair of glasses or contacts subject to same allowances and copay as your first pair
Contact Lenses in lieu of frames(Exam and Fitting)	Up to $60 copay,$150 allowance	Up to $105	Up to $60 copay,$200 allowance	Up to $105
Medically Necessary Contact Lenses	Covered in full after co-pay	Up to $210	Covered in full after co-pay	Up to $210
Frequency Exams Frames Lenses Contact lenses	Once Every Calendar Year		Once Every Calendar Year
Pay for vision expenses using pre-tax dollars Use your FSA and HSA to pay for your exam copay and eyeglasses or contacts.

Cost to Employee

Per pay period

Plan	Employee Only	Employee + 1	Employee + 2 or More
VSP Core Vision Plan	$2.50	$5.00	$7.50
VSP Enhanced Vision Plan	$7.00	$12.00	$18.50