Vision Benefit FAQs

Joliet and South Milwaukee production employees who have the $150 allowance benefit: 

Please explain the rolling 24-month vision benefit in more detail.
Each participant may use the benefit in any dollar increment within a 24-month time frame, and the calculation begins on the first day of vision service regardless if the full benefit amount is exhausted.

Example: Let's say your rolling 24-month vision benefit is $150, and you have a vision exam on March 10, 2018. A claim is submitted for $100 for the exam. A balance of $50 would remain until March 10, 2020, when the next full $150 benefit is available. 

Does the yearly deductible apply to the vision benefit?

No. The vision benefit amount applies with no deductible. 

Can vision benefits be applied to the purchase of contact lens solution?

Contact lens solution is not a covered supply. A supply would be considered to be lenses/contacts.

What is the difference between routine vision care and medical vision care?

Services are considered under the routine vision benefit when there is no medical diagnosis for the service. Examples of a routine vision diagnosis include near-sightedness, far-sightedness, or astigmatism. Routine services can be provided by either an ophthalmologist (MD) or an optometrist (OD). 

Services are considered under the medical benefit when a medical condition exists or is found during the exam. Examples include a scratch on the eye, disease of the eye such as glaucoma or cataracts, or diabetes. If your bill has a medical diagnosis, the exam will be considered under the medical benefit and will be subject to your deductible and co-insurance.

Is there a vision network of providers I should use?

You aren't required to use a VSP network provider; however, to get the VSP network discounts, you should use a VSP network provider.