Vision - Compare Options
Vision - Compare Options
This Vision Plan Comparison Chart includes the coverage levels for commonly used services. This comparison chart does not reflect all vision plan services, exclusions, limitations, or restrictions. It is not considered a contract or guarantee of coverage under the Plans. Refer to the Summary Plan Document located at www.oraclebenefits.com for more details on Plan provisions and limitations.
Vision Plan I
Vision Plan II
Network: Annual $10 co-payment applicable to exam, frame, or lenses
Non-Network: Annual $10 co-payment applicable to exam, frame, or lenses
Non-Network: Annual $10 co-payment applicable to exam, frame, or lenses
Network: Annual $10 co-payment applicable to exam, frame, or lenses. Additional $10 co-payment collected for 2nd Pair Benefit
Non-Network: Annual $10 co-payment applicable to exam, frame, or lenses. Additional $10 co-payment collected for 2nd Pair Benefit
Non-Network: Annual $10 co-payment applicable to exam, frame, or lenses. Additional $10 co-payment collected for 2nd Pair Benefit
Network: Not Covered
Non-Network: All allowances are provided once every calendar year
Non-Network: All allowances are provided once every calendar year
Network: Not Covered
Non-Network: All allowances (except the exam allowance which is provided once every calendar year) are provided twice every calendar year
Non-Network: All allowances (except the exam allowance which is provided once every calendar year) are provided twice every calendar year
Network: 100% after $20 co-payment
Non-Network: Not Covered
Non-Network: Not Covered
Network: 100% after $20 co-payment
Non-Network: Not Covered
Non-Network: Not Covered
Network: 100% after $20 co-payment
Non-Network: Not Covered
Non-Network: Not Covered
Network: 100% after $20 co-payment
Non-Network: Not Covered
Non-Network: Not Covered
Frames
Any available frame at provider location
Network: Covered up to $150 each calendar year (One-Pair)
Non-Network: Covered up to $70 (One-Pair)
Non-Network: Covered up to $70 (One-Pair)
Network: Covered up to $200 each calendar year (One-Pair)
Non-Network: Covered up to $70 (One-Pair)
Non-Network: Covered up to $70 (One-Pair)
Lenses
Single Vision
Network: Covered 100% each calendar year
Non-Network: $50
Non-Network: $50
Network: Covered 100% each calendar year
Non-Network: $50
Non-Network: $50
Bifocal
Network: Covered 100% each calendar year
Non-Network: $75
Non-Network: $75
Network: Covered 100% each calendar year
Non-Network: $75
Non-Network: $75
Trifocal
Network: Covered 100% each calendar year
Non-Network: $100
Non-Network: $100
Network: Covered 100% each calendar year
Non-Network: $100
Non-Network: $100
Lenticular Standard
Network: Covered 100% each calendar year
Non-Network: $125
Non-Network: $125
Network: Covered 100% each calendar year
Non-Network: $125
Non-Network: $125
Standard Progressive Lens
Network: 100%
Non-Network: Plan pays up to $75
Non-Network: Plan pays up to $75
Network: 100%
Non-Network: Plan pays up to $75
Non-Network: Plan pays up to $75
Lens Options
UV Treatment
Network: 100%
Non-Network: Covered up to $5
Non-Network: Covered up to $5
Network: 100%
Non-Network: Covered up to $5
Non-Network: Covered up to $5
Solid Tint
Network: 100%
Non-Network: Covered up to $5
Non-Network: Covered up to $5
Network: 100%
Non-Network: Covered up to $5
Non-Network: Covered up to $5
Gradient Tint
Network: 100%
Non-Network: Covered up to $5
Non-Network: Covered up to $5
Network: 100%
Non-Network: Covered up to $5
Non-Network: Covered up to $5
Contact Lenses (In Lieu of Glasses)
Elective: Conventional
Network: $250 allowance
Non-Network: $175 allowance
Non-Network: $175 allowance
Network: $300 allowance
Non-Network: $200 allowance
Non-Network: $200 allowance
Elective: Disposable
Network: $250 allowance
Non-Network: $175 allowance
Non-Network: $175 allowance
Network: $300 allowance
Non-Network: $200 allowance
Non-Network: $200 allowance
Medically Necessary
Network: 100%
Non-Network: $210 allowance
Non-Network: $210 allowance
Network: 100%
Non-Network: $210 allowance
Non-Network: $210 allowance
Additional Pair and Discount Programs
Network: https://www.vsp.com/optical-discounts.html
Non-Network: Not Applicable
Non-Network: Not Applicable
Network: https://www.vsp.com/optical-discounts.html
Non-Network: Not Applicable
Non-Network: Not Applicable
Second Pair Discount
Network: Not Applicable. Members are eligible for special discounts
Non-Network: Not Covered
Non-Network: Not Covered
Network: Annual $10 co-payment applicable to frame or lenses, Coverage provides a second pair of frames and lenses OR contact lenses subject to the same benefits as described above
Non-Network: Covered up to the scheduled allowance
Non-Network: Covered up to the scheduled allowance
This Vision Plan Comparison includes the coverage levels for commonly used services. This comparison chart does not reflect all vision plan services, exclusions, limitations, or restrictions. It is not considered a contract or guarantee of coverage under Plans. Refer to the Summary Plan Document located at www.oraclebenefits.com for more details on Plan provisions and limitations.