Vision and Hearing Plans
| Eye Examination | $0 copay once every 12 months |
| Diabetic Eyecare Plus | $20 Copay as needed |
| Visit the 24/7 Retail Eyewear Solution for VSP Members: www.eyeconic.com | |
| Frames | Once every 24 months. 100% after $15 Copay. Frames covered up to $195 ($95 allowance at Costco/WalMart/Sam's Club) |
| Lenses | Once every 12 months. Single vision, lined bifocal, lined trifocal lenses, standard progressive, anti-glare coating, scratch-resistance coating, and UV protection covered; Impact-resistant lenses for dependent children. |
| Contact Lenses | Once every 12 months, 100% to a max of $155. |
| Contact Lens exam | Paid in full after a copay of up to $60. |
| Benefit Limitations | Members may choose between the benefit of glasses or contact lenses, but not both, during any benefit plan period. |
| Kaiser Permanente WA Classic | Primary Care $15 / Specialist $30 |
| Kaiser Permanente WA Value | Primary Care $30 / Specialist $50 |
| Kaiser Permanente WA SoundChoice | Primary Care $20 / Specialist 15% coinsurance after deductible |
| Kaiser Permanente WA CDHP | After Deductible, 10% Coinsurance |
| Uniform Medical Plan Classic | $0 |
| Uniform Medical Plan Select | $0 |
| Uniform Medical CDHP | 15% |
| Kaiser Permanente NW Classic | $35 |
| Kaiser Permanente NW CDHP | $30 |
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TruHearing Hearing Aid Discount Program Offered in partnership with Vision Service Plan. TruHearing Customer Service (877) 396-7194 or www.truhearing.com |
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| Kaiser Permanente WA Classic | One hearing aid per ear covered to max allowance of $3,000 in full during any consecutive 36 months. |
| Kaiser Permanente WA Value | One hearing aid per ear covered to max allowance of $3,000 in full during any consecutive 36 months. |
| Kaiser Permanente WA SoundChoice | One hearing aid per ear covered to max allowance of $3,000 in full during any consecutive 36 months. |
| Kaiser Permanente WA CDHP | After deductible / One hearing aid per ear covered to max allowance of $3,000 in full during any consecutive 36 months. |
| Uniform Medical Plan Classic |
You pay $0 of the $3,000 benefit limit per ear every 36 months. |
| Uniform Medical Plan Select | You pay $0 of the $3,000 benefit limit per ear every 36 months. |
| Uniform Medical CDHP | You pay $0 of the $3,000 benefit limit per ear every 36 months. |
| Kaiser Permanente NW Classic | One hearing aid per ear covered to max allowance of $3,000 in full during any consecutive 36 months. |
| Kaiser Permanente NW CDHP | One hearing aid per ear covered to max allowance of $3,000 in full during any consecutive 36 months. |