SEE HEALTHY AND LIVE HAPPYWITH HELP FROM ARCHER DANIELS MIDLAND RETIREES AND VSP.

Enroll in VSP® Vision Care to get personalized care from aVSP network doctor at low out-of-pocket costs.

VALUE AND SAVINGS YOU LOVE.Save on eyewear and eye care when you see a VSP networkdoctor. Plus, take advantage of Exclusive Member Extrasfor additional savings.

PROVIDER CHOICES YOU WANT.With an average of five VSP network doctors within six miles of you, it’s easy to find a nearby in-network doctor or retail chain. Plus, maximize your coverage with bonus offers and additional savings that are exclusive to Premier Program locations—including private practice doctors and Visionworks® retail locations nationwide.

Prefer to shop online? Use your vision benefits on Eyeconic®—the VSP preferred online retailer.

QUALITY VISION CARE YOU NEED.You’ll get great care from a VSP network doctor, includinga WellVision Exam®—a comprehensive exam designed todetect eye and health conditions.

With VSP CoverageWithout VSP

$10$185Eye Exam

$25$130Frame

$151Bifocal Lenses

$69$146Anti-glare Coating

$75$126Light-reactive Lenses

$95.04N/ARetiree-only Annual Contribution

$274.04$738Total

YOUR ANNUAL SAVINGS WITH VSP

$463.96

A LOOK AT YOURVSP VISION COVERAGE

Enroll today. 11/09/2020 - 11/20/2020

Contact us: 800.400.4569 or admpensioners.vspforme.com

Using Your Benefit Is Easy!

Create an account on vsp.com to view your in-network coverage, find the VSP network doctor who’s right for you, and discover savings with exclusive member extras. At your appointment, just tell them you have VSP.

YOUR VSP VISION BENEFITS SUMMARYArcher Daniels Midland Retirees and VSP provide you with an affordable vision plan. Choose the eye care essentials to give your eyes extra love.

FrequencyCopayDescriptionBenefitYour Coverage with a VSP Provider

Every calendar year$10WellVision Exam Focuses on your eyes and overall wellness

See frame and lenses$25PRESCRIPTION GLASSES

Every calendar yearIncluded inPrescription

GlassesFrame

$130 allowance for a wide selection of frames$150 allowance for featured frame brands20% savings on the amount over your allowance$70 Costco® frame allowance

Every calendar yearIncluded inPrescription

GlassesLenses Single vision, lined bifocal, and lined trifocal lenses

Polycarbonate lenses for dependent children

Every calendar year

$0

Lens Enhancements $95 - $105$150 - $175

Standard progressive lensesPremium progressive lensesCustom progressive lensesAverage savings of 30% on other lens enhancements

Every calendar yearUp to $60Contacts (instead of Glasses)

$130 allowance for contacts; copay does not applyContact lens exam (fitting and evaluation)

As needed$20 per examDiabetic Eyecare Plus

ProgramSM

Retinal screening for members with diabetes Additional exams and services for members with diabetic eye disease, glaucoma, or age-related macular degeneration. Limitations and coordination with your medical coverage may apply. Ask your VSP doctor for details.

Glasses and Sunglasses

Extra Savings

Extra $20 to spend on featured frame brands. Go to vsp.com/offers for details.20% savings on additional glasses and sunglasses, including lens enhancements, from any VSP provider within12 months of your last WellVision Exam.

Retinal ScreeningNo more than a $39 copay on routine retinal screening as an enhancement to a WellVision Exam

Laser Vision CorrectionAverage 15% off the regular price or 5% off the promotional price; discounts only available from contractedfacilities

$7.92 Retiree only $15.91 Retiree + 1 $18.68 Retiree + familyYour MonthlyContribution

YOUR COVERAGE WITH OUT-OF-NETWORK PROVIDERSGet the most out of your benefits and greater savings with a VSP network doctor. Call Member Services for out-of-network plan details.

Coverage with a retail chain may be different or not apply. Once your benefit is effective, visit vsp.com for details. VSP guarantees coverage from VSP network providers only. Coverageinformation is subject to change. In the event of a conflict between this information and your organization’s contract with VSP, the terms of the contract will prevail. Based on applicablelaws, benefits may vary by location. In the state of Washington, VSP Vision Care, Inc., is the legal name of the corporation through which VSP does business.

©2020 Vision Service Plan. All rights reserved.VSP, VSP Vision Care for life, Eyeconic, and WellVision Exam are registered trademarks, VSP Diabetic Eyecare Plus Program is servicemark of Vision Service Plan. All other brands or marks are the property of their respective owners.

PROVIDER NETWORK:

VSP Choice

EFFECTIVE DATE:

01/01/2021

$0