YOUR BENEFITS: IBM Vision Options

Your vision options include

IBM Vision Plan: Provides comprehensive benefits for eye exams and eyewear both in- and out-of the VSP network in addition to the same discounts offered by the VSP Vision Card

VSP Vision Card: A free vision discount card that lets you save money on eye exams, eyewear and other vision care services from VSP network providers

If you have questions about available discounts or benefits, or to locate a provider in the VSP network, contact VSP directly at 1-888-877-4426 or log on to www.vsp.com/ibm.

IBM Vision Plan
VSP Vision Card
In-Network
Out-of-Network
Benefits Available

Annual eye exam; one pair of glasses or contact lenses; 30% off additional glasses and sunglasses, including lens options, from the same VSP doctor on the same day as your WellVision Exam; or 20% off from any VSP doctor within 12 months of your last WellVision Exam.

Annual eye exam; one pair of glasses or contact lenses up to dollar limits below Discounts on eyewear and associated vision services, available from providers in the VSP network
Annual Eye Exam Plan pays full eligible charge Up to $35 20% discount on VSP provider’s fee
Lenses* Plan pays full eligible charge; certain lens options not included • Single vision: up to $25
• Bifocal: up to $40
• Trifocal: up to $55
• Lenticular: up to $80
20% discount off the retail price on complete pairs of prescription glasses, including a variety of lens options
Frames* Plan pays up to $120 for certain frames; you may pay a portion for others Up to $35
Contact Lenses • Elective: up to $120
• Medically Necessary: no charge with prior approval
• Elective: up to $105
• Medically Necessary: up to $165
15% discount on VSP provider’s fee for contact lens exams (fitting and evaluation services). Discounts are not available for contact lenses.
Laser Vision Correction Surgery No benefit coverage but savings may be available for LASIK or PRK surgery; contact VSP for details Not applicable On average, 15% discount available
Eligible Providers Contact VSP or visit www.vsp.com/ibm for a list of providers in your area See any provider Contact VSP or visit www.vsp.com/ibm for a list of providers in your area
Filing Claims Providers file claims on your behalf You pay for services when received, then submit the bill to VSP for reimbursement No claims to file; discounts are provided at time of purchase or service

* Contact lenses (pair) OR lenses and frames (glasses) once each calendar year

Log on to www.netbenefits.com or call 1-800-796-9876 to enroll