VISION
| VBA Vision Benefits | ||
| Your Weekly Costs | ||
| Single | $1.50 | |
| Employee+Spouse | $2.84 | |
| Employee+Child(ren) | $2.92 | |
| Family | $3.89 | |
| In-Network | Out-of-Network | |
| Annual Eye Exam (covered once every 12 months) |
Fully covered | Covered up to $40 |
| Eyeglass Lenses (covered once every 12 months) |
Fully covered Progressive lenses up to controlled cost | Single vision: covered up to $40 Bifocal: covered up to $60 Progressive: covered up to $80 Trifocal: covered up to $80 Lenticular: covered up to $120 |
| Eyeglass Frames (covered once every 24 months) |
$50 wholesale @ $125-$150 retail | Up to $50 |
| Contact Lenses In Lieu of Glasses (covered once every 12 months) |
Elective: Covered in full up to $160 Medically Necessary: Covered for Usual and customary charge. Must be pre-certified |
Elective: Covered in full up to $160 Medically necessary: Up to $125. Must be pre-certified |
To locate a participating provider or receive answers to all your vision care related inquiries, please call VBA’s Member Services Department at 1.800.432-4966.
