MNA PECSH-Represented Caregivers

Vision Benefits Overview
Benefit Plan Description Key Features What’s New This Year?

Vision Services Plan (VSP)
Rate Sheet

Rate Sheet Supplemental Pool

Enrollment/Change Forms

Summary

Allows services to be performed by any provider that is in the VSP network.

Dependents may be added at the Caregivers cost.

VSP Silver (Base) plan offers $150 towards frames or contacts annually.

VSP Gold (Buy-Up) increases your allowance and offers $200 towards glasses or contacts annually. Copays are lower on progressive lenses.

Offers a Silver (Base) plan with a Gold (Buy-Up) plan option. Annual Eye Exam is covered at 100% for both the base and buy up plans.

Standard progressive lenses now have $0 copay.

The Dental and Vision plans are no longer linked. If you elect a dental plan, you will no longer automatically be enrolled in a vision plan. Likewise, if you elect a vision plan, you no longer are required to elect a dental plan.

Plan names have changed! The new names are: Silver (Base) Gold (Buy Up) NEW: LightCare coverage added to all vision plans.
Vision Savings Pass
Flyer
VSP Vision Savings Pass Caregivers without vision coverage may utilize the VSP Vision Savings Pass, applicable to Caregiver only. This program provides discounts on vision services and products by utilizing VSPs network of providers. Please call 800-877-7195 for Savings Pass Providers.

For Information Call:

Total Rewards Hotline

517-364-5333

benefits@sparrow.org

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This is a summary of the benefits provided by each insurance carrier and it is not intended to fully describe the details of each benefit plan. Should any questions arise, the contracts in effect will take precedence.