ASEA AFSCME Local 52 Health Benefits Trust is in Alaska

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Vision


The ASEA Health Trust’s Vision benefits are provided through VSP. VSP’s network of providers offers discounts off their retail chargers. You may use the provider of your choice, but if you use a VSP network provider, you receive discounts on services, lenses, and frames and you don’t have to submit a claim form.

VSP now offers the option to electronically submit vision claims for services provided by providers outside of VSP’s network. Use the VSP Out-of-Network Reimbursement Form to submit your claims for care received from an out-of-network provider. Click HERE for more information about how to submit a claim on-line or by mail.

To find a VSP provider, check on a claim or ask a question, call them at 800-877-7195 (toll-free) or visit their website at www.vsp.com.

The Vision Plan covers:

  • Complete vision examination including required refraction, by a legally qualified ophthalmologist or optometrist
  • Single vision, bifocal, trifocal, or lenticular lenses
  • Frames
  • Contact lenses

Amount Covered by Plan Option

The amount the Plan pays for vision care is based on the Plan’s Allowable Expenses.

 

PLAN A
Full Plan for Employees and Family

 

PLAN B
Full Plan for Employees Only

PLAN C
Supplemental Plan for Employees and Families with Other Coverage

PLAN D
Low Option Plan for Employees and Families

Plan Pays
VSP In-Network Out-of-Network
Exam: Covered in full every Plan Year Exam: up to $150, every Plan Year
Basic Single Vision or Lined Lenses: Covered in full every Plan Year

Polycarbonate lenses and UV coating: Covered in full every Plan Year

One of the following covered in full every Plan Year: Progressive or photochromic lenses or anti-reflective coating		 Single Vision or Lined Lenses: up to $175, every Plan Year
Frames: $150 retail allowance every other Plan Year and 20% discount on the amount over the allowance Frames: up to $150, every other Plan Year
Contacts: $200 allowance in lieu of lenses and frames Contacts: $200 allowance in lieu of lenses and frames

Not Covered

More Details:

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