Human Resources

NDNU Vision Plan Summary (VSP)

For appointments visit vsp.com or call 800-877-7195		In Network *	Out of Network
Out of Pocket for Exam	Exam covered in full every 12 months	Exam: $25 Prescription Glasses: $15 Contacts: None	Exam: $45 Single Vision Lenses: $45 Bofocal Lenses: $65 Trifocal Lenses: $85 Frame: $47 Contacts: $105 For information on Out-of-Network doctors please call 800-877-7195
Lenses - Single Glass or Plastic	Covered 100% per pair One pair regular eyeglass lenses every 24 mos.$130 allowance for contacts and the contact lens exam(fitting and evaluation) to ensure proper fit of contacts.	Covered 100% per pair after $15 copay Once every 24 mos.
Frames	Covered 100% One frame every 24 mos. Frame of your choice covered up to $130 plus 20% off any out-of-pocket costs.	Covered 100% subject to copay Once every 24 mos. One standard frame (any frame with a wholesale value of $40 or less)
Laser Vision Correction	Average 15% off the regular price or 5% off the promotional price from contracted facilites. After surgery, use your frame allowance (if eligible) for sunglasses from any VSP doctor.

* See directory for participating VSP member doctors.
** Cost of vision is included in premiums.