Overview

To help you keep life in focus, Xerox offers you the opportunity to enroll in VSP vision insurance, which provides coverage for eye exams, eyeglasses, and contact lenses as well as discounts for laser surgery. You can enroll on BenefitsWeb.

If you visit a VSP provider, you pay a fee at the time you receive care, and the plan pays the rest of the expense. For an out-of-network provider, you pay in full at the time you receive care and submit a claim for reimbursement.

Note that there is no ID card for vision coverage; instead, the provider may ask for your Social Security Number to identify you as a covered employee.

Key features

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Eye exam covered every year, with only a small copay charged to you

Coverage for prescription eyeglasses or contact lenses so you can choose the method of correction you prefer

Wide network of providers that have agreed to negotiated rates, which helps you save money

Find a network provider

You’ll generally pay less when you stay in network. Visit the VSP website to find an in-network vision care provider near you.

 

Coverage Details

  Frequency In-Network Out-of-Network
In-network
WellVision exam Once every calendar year You pay $10 Reimbursed up to $45
Retinal screening exam Once every calendar year You pay up to $39 Not applicable
Frames Once every two years, in lieu of contact lenses You pay 80% of the balance over $150 Reimbursed up to $70
Standard Plastic and Glass Eyeglass Lenses
Single, bifocal, trifocal, lenticular Once every calendar year, in lieu of contact lenses You pay $25 Reimbursed up to $30 – $100
Standard progressive Once every calendar year, in lieu of contact lenses You pay $55 Reimbursed up to $50
Premium progressive Once every calendar year, in lieu of contact lenses You pay $95 – $105 Reimbursed up to $50
Custom progressive Once every calendar year, in lieu of contact lenses You pay $150 – $175 Reimbursed up to $50
Additional eyeglass lens options (scratch, anti-reflective or ultraviolet coating, tint, polycarbonate) Not applicable You save an average of 20 – 25% on lens enhancements Not applicable
Contact Lenses
Contact lens exam (includes fitting, evaluation) Once every calendar year, in lieu of a pair of glasses You pay $15 Reimbursed up to $105
Conventional or disposable Once every calendar year, in lieu of a pair of glasses You pay the balance over $150* Reimbursed up to $105
Laser Vision Correction
On average, you’ll save 15% off the regular price or 5% off the promotional price from participating centers.

*The $150 contact lens allowance must be used on the initial purchase. Any remaining balances cannot be used for additional contact lens purchases within the same 12-month benefit period.

For complete cost and coverage details, visit BenefitsWeb.