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Nevada Public Employees’ Benefits Program

YOUR VSP

VISION BENEFITSMEMBERS FIRST,

MEMBERS FOR LIFE

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Base Coverage

NEVADA PUBLIC EMPLOYEES’ BENEFITS PROGRAM

PEBP of Nevada is offering two VSP vision plans for you to choose from.

Premium Coverage

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VSP PLANS AT A GLANCEBase Plan Premium Plan

Exams • WellVision Exam® covered every calendar year $10 Copay

• Retinal Imaging exam covered every calendar year $39 Copay

Frame Allowance $120 Frame allowance every calendar year $200 Frame allowance every calendar year

Lenses

(every calendar year)$25 Copay

•Fully covered single vision, lined bifocal or lined trifocal lenses for adults

•Fully covered single vision, lined bifocal or lined trifocal polycarbonate lenses for children

Lens Enhancements•Standard Progressive lenses covered with $55 copay

•20-25% on lens enhancements–

Scratch-resistant, UV, Anti-glare coating

•Standard Progressive lenses covered with $0 copay

•20-25% savings on lens enhancements–

Scratch-resistant, UV, Anti-glare coating

Contact Lens

Allowance

(in lieu of glasses)

$110 allowance for contacts lenses and copay up to

$60 for contacts lens exam (fitting and evaluation)

$200 allowance for contacts lenses and copay up to

$60 for contacts lens exam (fitting and evaluation)

Your Monthly

Contribution

$5.86 Member only, $11.75 Member + Spouse,

$12.57 Member + Child(ren), $20.09 Member + Family

$9.09 Member only, $18.16 Member + Spouse,

$19.43 Member + Child(ren), $31.05 Member + Family

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PARTICIPATING RETAIL CHAINS

Over 8,000 participating retail locations in the

VSP network:

Retail Chains include:

• Costco® Optical

• Walmart Vision Center (Premium Plan Only)

• Pearle Vision

• Visionworks®

• MyEyeDr

• Clarkson Eyecare

• RxOptical®

• Optyx

• And more.

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BEST VALUE FOR YOUR DOLLAR

Without VSP With VSP

Eye Exam $171 $10

Frame $200$25

Single Vision Lenses $96

Anti-reflective coating $115 $69

Photochromic Adaptive Lenses $113 $70

Employee-only Annual Contribution N/A $109.08

Total $695 $283.08

Average

Annual Savings

$412With a VSP

Network Doctor

Comparison based on national averages for eye exams and most commonly purchased brands.

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EYECONIC.COM

Eyeconic is the only place where

VSP members can shop online for

contacts and eyewear with their

VSP insurance in-network.

Personalized: As a VSP-owned company, Eyeconic

seamlessly connects VSP vision benefits to your account.

Simple: Save time and money on quality eyewear with a

few easy clicks.

1. Connect your vision insurance.

2. Select your product.

3. Upload your prescription or provide your doctors

contact information and we’ll take care of the rest.

Choice: Eyeconic offers a variety of well-known brands

and contact lenses. Choose from over 35 eyewear brands

and over 1600 styles.

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EXCLUSIVE MEMBER EXTRAS

Big Value. More Saving with VSP Vision Care.

With Exclusive Member Extras, savings never looked so

good. VSP puts members first by providing you with exclusive

special offers from leading industry brands, totaling more than

$3,000 in savings. Discover great deals on glasses,

sunglasses, contact lenses, and more.

Special Deal on Glasses—

Extra $20 on Featured Frame Brands

Save 25-40% on popular lens enhancements

Save Up to $50 on Non-prescription Sunglasses

*Offers vary based on benefit plan.

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USING YOUR BENEFIT IS EASY

Once you’re enrolled…

• Create an account at vsp.com and review

your benefit information

• Find a VSP in-network doctor by visiting

vsp.com or calling 800.877.7195

• No ID card needed, at your appointment,

simply tell them you have VSP

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ENROLL

TODAY!

Enjoy the complete coverage

and quality care you deserve.

To learn more contact us

at 800.877.7195 or [vsp.com].

©2019 Vision Service Plan. All rights reserved.

VSP, Eyeconic, eyeconic.com, Eyes of Hope, and WellVision Exam are registered trademarks of Vision Service Plan. All other brands are the property of their respective owners. 40152 VCCL