2021 Annual Health Benefits Open Enrollment Period
September 20, 2021 – October 15, 2021
The District currently provides vision benefits to employees and their eligible dependent(s). For 2022, the District will pay 100% of the cost of vision insurance premiums for full-time employees and eligible dependent(s). Dependent children are eligible to age 26.
- WellVision Exam ($10 Copay for Exam and Glasses)
Your plan provides for an eye exam every 12 months*. Your eye exam includes the necessary tests to evaluate and monitor visual wellness. If you wear contact lenses, a separate contact lens exam (fitting and evaluation) is necessary. Refer to “Contact Lenses” below for coverage detail.
- Prescription Eyewear
You may choose between glasses or contacts. When contact lenses are chosen, you will be eligible for a frame 24 months from the date contact lenses were obtained. Before selecting your eyewear, ask your doctor what is covered by your VSP plan.
- Lenses (Copay is combined with Exam)
Single vision, lined bifocal, and lined trifocal lenses
Impact-resistant lenses for dependent children
Your plan provides for new lenses every 12 months*
- Lens Enhancements
Standard progressive lenses $0 Copay
Premium progressive lenses $80 - $90 Copay
Custom progressive lenses $120 - $160 Copay
Your plan provides for these enhancements every 12 months*
- Frames (Copay is combined with exam)
$170 featured frame brands allowance
$150 frame allowance
20% savings on the amount over your allowance
Your plan provides for new frames every 24 months*
- Contact Lenses $0 Copay (instead of glasses)
$150 allowance fo contacts and contact lens exam (fitting and evaluation)
15% savings on a contact lens exam (fitting and evaluation)
Your plan provides this allowance every 12 months*
Diabetic Eyecare Plus Program
- Retinal screening for members with diabetes $0 Copay
- Additional exams and services for members with diabetic eye disease,
glaucoma, or age-related macular degeneration. $20 Copay per exam
- Additional Prescription Glasses and Sunglasses
Extra $20 to spend on featured frame brands. Go to vsp.com/offers for details.
30% savings on additional glasses and sunglasses, including lens enhancements, from the same VSP doctor on the same day as your WellVision Exam. Or get 20% from any VSP doctor within 12 months of your last WellVision Exam.
- Retinal Screening
No more than a $39 copay on routine retinal screening as an enhancement to a WellVision Exam.
- Laser Vision Correction
Average 15% off the regular price or 5% off the promotional price; discounts only available from contracted facilities.
After surgery, use your frame allowance (if eligible) for sunglasses from any VSP doctor
* Based on last date of service.
To request an enrollment form or if you have any questions please contact Donna Sheibe in the Human Resource Department at email@example.com or (562) 860-2451 Ext. 2280