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SEE HEALTHY AND LIVE HAPPY WITH HELP FROM TRINET AND VSP. Enroll in VSP® Vision Care to get personalized care from a VSP network doctor at low out-of-pocket costs. VALUE AND SAVINGS YOU LOVE. Save on eyewear and eye care when you see a VSP network doctor. Plus, take advantage of Exclusive Member Extras for 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. 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, including a WellVision Exam®—a comprehensive exam designed to detect eye and health conditions. GET YOUR PERFECT PAIR EXTRA $20 TO SPEND ON FEATURED FRAME BRANDS* SEE MORE BRANDS AT VSP.COM/OFFERS. UP TO + 25% SAVINGS ON LENS ENHANCEMENTS 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. A LOOK AT YOUR VSP VISION COVERAGE Enroll today. Contact us: 800.877.7195 or trinet.vspforme.com

VSP VISION COVERAGE · Ask your As needed VSP doctor for details. As needed +1.«+2!. #!«3%0$« 10!+"! !03+.'« .+2% !./ Get the most out of your benefits and greater savings with

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Page 1: VSP VISION COVERAGE · Ask your As needed VSP doctor for details. As needed +1.«+2!. #!«3%0$« 10!+"! !03+.'« .+2% !./ Get the most out of your benefits and greater savings with

SEE HEALTHY AND LIVE HAPPYWITH HELP FROM TRINET 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 sixmiles of you, it’s easy to find a nearby in-network doctoror retail chain. Plus, maximize your coverage with bonusoffers and additional savings that are exclusive to PremierProgram locations.

Prefer to shop online? Use your vision benefits onEyeconic®—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.

GET YOUR PERFECT PAIR

EXTRA $20TO SPEND ON

FEATURED FRAME BRANDS*

SEE MORE BRANDS AT VSP.COM/OFFERS.

UP TO+ 25%

SAVINGS ON LENSENHANCEMENTS

Using your benefit is easy!

Create an account on vsp.comto view your in-networkcoverage, find the VSP networkdoctor who’s right for you, anddiscover savings with exclusivemember extras. At yourappointment, just tell them youhave VSP.

A LOOK AT YOURVSP VISION COVERAGE

Enroll today.Contact us: 800.877.7195 or trinet.vspforme.com

Page 2: VSP VISION COVERAGE · Ask your As needed VSP doctor for details. As needed +1.«+2!. #!«3%0$« 10!+"! !03+.'« .+2% !./ Get the most out of your benefits and greater savings with

YOUR VSP VISION BENEFITS SUMMARYTriNet and VSP provide you with a choice of affordable vision plans. Choose the eye care essentials, or upgrade to give your eyes extra love.

CopayDescriptionBenefitCopayDescriptionBenefitVSP Vision Plus Plan Coverage with a VSP ProviderVSP Vision Plan Coverage with a VSP Provider

$10WellVision Exam$10WellVision ExamFocuses on your eyes and overallwellness

Focuses on your eyes and overallwellnessEvery 12 months Every 12 months

$25PRESCRIPTION GLASSES $25PRESCRIPTION GLASSES

Included inPrescription

GlassesFrame

Included inPrescription

GlassesFrame

$130 allowance for a wide selection of frames$150 allowance for featured frame brands20% savings on the amount over your allowance$70 Walmart®/Sam's Club/Costco® frame allowanceEvery 24 months

$150 allowance for a wide selection of frames$170 allowance for featured frame brands20% savings on the amount over your allowance$100 Walmart®/Sam's Club/Costco® frame allowanceEvery 12 months

Included inPrescription

GlassesLenses

Included inPrescription

GlassesLenses

Single vision, lined bifocal, and linedtrifocal lenses

Single vision, lined bifocal, and linedtrifocal lensesPolycarbonate lenses for dependentchildren

Polycarbonate lenses for dependentchildrenEvery 12 months Every 12 months

$0

LensEnhancements

$0$0

LensEnhancements

Scratch-resistant coating Scratch-resistant coating$0 UV protectionUV protection$55 $55Standard progressive lenses Standard progressive lenses

$95 - $105$95 - $105 Premium progressive lensesPremium progressive lenses$150 - $175 $150 - $175Custom progressive lenses Custom progressive lenses

Average savings of 20-25% on otherlens enhancements

Average savings of 20-25% on otherlens enhancementsEvery 12 months Every 12 months

$0Contacts(instead ofglasses) $0

Contacts(instead ofglasses)

$120 allowance for contacts and contact lens exam (fitting and evaluation) 15% savings on a contact lens exam(fitting and evaluation)Every 12 months

$200 allowance for contacts and contact lens exam (fitting and evaluation)15% savings on a contact lens exam (fitting and evaluation)Every 12 months

$20DiabeticEyecare PlusProgram

Services related to diabetic eye disease,glaucoma and age-related maculardegeneration (AMD). Retinal screeningfor eligible members with diabetes.Limitations and coordination withmedical coverage may apply. Ask yourVSP doctor for details.

$20DiabeticEyecare PlusProgram

Services related to diabetic eye disease,glaucoma and age-related maculardegeneration (AMD). Retinal screeningfor eligible members with diabetes.Limitations and coordination withmedical coverage may apply. Ask yourVSP doctor for details.As neededAs needed

Your Coverage with Out-of-Network ProvidersYour 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. Get the most out of your benefits and greater savings with a VSPnetwork doctor. Call Member Services for out-of-network plan details.

Exam ........................................... up to $45Frame ......................................... up to $47Single Vision Lenses ............. up to $45Lined Bifocal Lenses ............ up to $65

Lined Trifocal Lenses ............ up to $85Progressive Lenses ............... up to $65Contacts .................................. up to $105

Exam .......................................... up to $50Frame ......................................... up to $75Single Vision Lenses ............. up to $50Lined Bifocal Lenses ............. up to $75

Lined Trifocal Lenses ......... up to $100Progressive Lenses ................ up to $75Contacts ................................. up to $200

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 within 12 months of your lastWellVision 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 contracted facilities

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.

*Only available to VSP members with applicable plan benefits. Frame brands and promotions are subject to change. Savings based on doctor’s retail price and vary by plan and purchaseselection; average savings determined after benefits are applied. Ask your VSP network doctor for more details.

©2019 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. Flexon is a registeredtrademark of Marchon Eyewear, Inc. All other brands or marks are the property of their respective owners.

PROVIDER NETWORK:

VSP Choice