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The medical plans offered by Locke Lord do not provide coverage for an eye exam for you and any enrolled dependents unless you have a specific medical condition (i.e. diabetes, glacoma, macular degeneration). If you want to have coverage for eye exams, glasses, contacts, and other materials not covered by the medical plan, you should consider enrolling in Locke Lord’s Voluntary Vision Plan.

The Voluntary Vision Plan, offered by VSP offers many advantages including:

  • Exams and lenses (in frames or contacts) every calendar year
  • Frames every other calendar year
  • Services from network providers covered at 100% after your co-pay (frames are covered up to the plan’s allowance)
  • Services at out-of-network providers reimbursed up to the plan’s allowance

You pay an annual premium to participate in this plan.

For additional information, please contact VSP at 800.877.7195 or www.vsp.com.

VSP
In-Network
you pay…

Out-of-Network
you are
reimbursed…

Eye Exam

$10 co-pay*

Up to $50*

Lenses (Single, Bifocal or Trifocal)

 Covered in full
after $20 co-pay*

Up to $50 (single),
$75 (bifocal) or
$100 (trifocal)*

Frames

Charges over $200
allowance**

Up to $70**

Contact Lenses and Contact Lens Exam (Fitting and Evaluation) – Elective

Charges over $200
allowance*

Up to $105*

Elective Contact Lens (Fitting and Evaluation)

85%*

N/A

* Once every calendar year

** Once every other calendar year


If there is ever a question about this benefit, or if there is a conflict between the information in this summary and the formal language of the Plan documents, the formal wording in the Plan documents will govern. Please note the benefits described in this summary may be changed at any time and do not represent a contractual obligation on the part of Locke Lord LLP.