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Vision Care Plan
Princeton University's Vision Care Plan is administered
by Vision Service Plan (VSP). VSP offers a large network of qualified
optometrists and ophthalmologists. VSP is one of the first eye-care health plans
to credential 100% of its doctor network following standards established by the
National Committee for Quality Assurance (NCQA). You and your eligible family
members may enroll in the plan, designed to encourage you to maintain your
vision through regular eye examinations and to help with vision care expenses
for required glasses or contact lenses. The full cost of the plan is paid by you
on a pretax basis.
Your
Vision Care Benefits
Eligibility: you are eligible on the first of the month
coincident with or next following your date of hire.
|
Plan
Features |
Copay
|
If
you use a VSP doctor |
If
you use an out-of-network doctor
(Reimbursement)
|
How
often you can use these services (with or without a VSP doctor)
|
|
Comprehensive
Vision Exam |
$10
|
Covered
in full |
Up
to $43 allowance |
Once
every calendar year |
|
Lenses* |
$20
applied to lenses and frames |
Single
vision, lined bifocal and lined trifocal lenses are covered in full |
Single
vision up to $40 allowance
Lined bifocal up to $60 allowance
Lined trifocal up to $73 allowance |
Once
every calendar year |
|
Frame**
|
|
Covered
up to $155 retail allowance |
Covered up
to $47 allowance |
Once
every calendar year |
|
Contact
Lenses*** (materials, evaluation fee, & fitting costs |
|
Covered
up to $140 allowance |
Covered up
to $140 allowance |
Within 12 months of your last exam |
PLEASE NOTE: You cannot be reimbursed
for glasses and contacts in the same calendar year
* Lens options which can
enhance the appearance, durability and function of your glasses, are available
to you at VSP's member preferred pricing. Ask your doctor for details.
** If you choose a frame
valued at more than your allowance, you will save 20% on your out-of-pocket
costs for frames.
*** Your
allowance applies to the cost of your contact lens exam and your contact
lenses. You will receive a 15% savings off the cost of your contact lens
exam from a VSP doctor. Your contact lens exam is performed in addition
to your routine eye exam to check for eye health risks associated with
improper wearing or fitting of contacts. You may receive a 20% savings
when you purchase non-covered pairs of prescription glasses, including
prescription sunglasses from the same VSP doctor within 12 months of
your last eye exam.
The plan covers all tints, polycarbonate lenses and scratch coatings and
offers savings on laser vision correction surgery.
There is no benefit for professional
services or materials connected with:
1. Orthoptics or vision training and any
associated supplemental testing.
2. Plano lenses (non-prescription).
3. Two pair of glasses in lieu of bifocals.
4. Lenses and frames furnished under this program which are lost or broken will
not be replaced except at the normal intervals when services are otherwise
available.
5. Medical or surgical treatment of the eyes.
6. Any eye examination, or any corrective eye wear, required by an employer as a
condition of employment.
7. Protective eyewear.
How the Plan Works
1. Locate a VSP Provider by either
utilizing the VSP web site
https://www.vsp.com/member/htmls/vsp.htm or calling
1-800-877-7195.
2. Schedule an appointment. When
scheduling your appointment let the office know that you are a VSP
member and provide the following:
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Name and date of birth of person seeking
the care.
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Your employer is
Princeton University.
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Your name (as the employee) and your social
security number.
-
The VSP
doctor's office will verify your
eligibility prior to your visit.
Pay any applicable copayments or cost not
covered by the plan after services are provided.
How do I get reimbursed if I use a provider
not in the VSP network:
1. Pay the entire
bill when you receive services from the provider.
2. Send the complete
itemized bill, within 6 months from your date of service, with the
following information:
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The
employee's name, address, phone number
and social security number.
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The name, date of birth, address, phone
number and relationship (self, spouse, child, etc.) of the
enrolled member receiving the service.
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Mail to: VSP, PO Box 997105, Sacramento,
CA 95899-710
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