If you wear glasses or contacts, chances are you already have a steady appointment with an eye doctor. But even those with perfect eyesight should have their vision checked on a regular basis. To ensure that you and your family have access to quality vision care, Air Medical Group Holdings offers a comprehensive vision benefit provided by VSP.
Vision Premiums
Premium contributions for Vision will be deducted from your paycheck on a pre-tax basis. Your tier of coverage will determine your biweekly premium.
| VSP | |
| BIWEEKLY CONTRIBUTIONS | |
| Employee Only | $3.03 |
| Employee + Spouse | $4.85 |
| Employee + Child(ren) | $4.95 |
| Employee + Family | $7.98 |
Vision Plan Summary
Vision Plan benefits are available to you on a voluntary basis. The chart below gives a summary of the 2017 vision coverage provided by VSP. All out-of-network services are subject to Reasonable and Customary (R&C) limitations. In-network copayments are paid directly to the provider. Out-of-network services will be reimbursed up to the scheduled amounts below.
| VSP | ||
| IN-NETWORK | OUT-OF-NETWORK | |
| COVERED MATERIALS | ||
| LENSES | ||
| Single Vision Lenses | Included in copay | Up to $30 |
| Bifocal Lenses | Included in copay | up to $50 |
| Trifocal Lenses | Included in copay | Up to $65 |
| FRAMES | ||
| Retail Frame Equivalent | $130 allowance | Up to $70 |
| CONTACT LENSES | ||
| Necessary | $130 allowance | Up to $319 |
| Elective | $130 allowance | Up to $115 |
| COPAYS | ||
| Examination | $10 | Up to $68 |
| Materials | $25 | See Lenses Section |
| BENEFIT FREQUENCY | ||
| Examination | Once every 12 months | |
| Lenses | Once every 12 months | |
| Frames | Once every 24 months | |
| Contacts (in lieu of Lenses and Frames | Once every 12 months | |