C. Vision and Hearing Plans | Thurston County

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County Contacts

Thurston County Washington

Human Resources

VSP Summary of Benefits

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 $175 ($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.

Contact your plan about cost for children's vision care.
Kaiser Permanente WA Classic	After deductible, $15 copay primary / $30 copay specialty
Kaiser Permanente WA Value	After deductible, $30 copay primary / $50 copay specialty
Kaiser Permanente WA Sound Choice	$20 copay primary / 15% coinsurance specialty
Kaiser Permanente WA CDHP	After deductible, 10% coinsurance
Uniform Medical Plan Classic	$0 There is a $30 copay for the contact lens exam and fitting.
UMP Plus	$0
UMP Select	$0
Uniform Medical CDHP	$0
Kaiser Permanente NW Classic	$25
Kaiser Permanente NW CDHP	$20

Kaiser Permanente WA Classic	You pay any amount over $150 every 24 months for frames, lenses, and contacts combined.
Kaiser Permanente WA Value	You pay any amount over $150 every 24 months for frames, lenses, and contacts combined.
Kaiser Permanente WA SoundChoice	You pay any amount over $150 every 24 months for frames, lenses, and contacts combined.
Kaiser Permanente WA CDHP	You pay any amount over $150 every 24 months for frames, lenses, and contacts combined.
Uniform Medical Plan Classic	You pay any amount over $150 every two calendar years for frames, lenses, and contacts combined.
Uniform Medical Plan Plus	You pay any amount over $150 every two calendar years for frames, lenses, and contacts combined.
Uniform Medical Plan Select	You pay any amount over $150 every two calendar years for frames, lenses, and contacts combined.
Uniform Medical CDHP	You pay any amount over $150 every two calendar years for frames, lenses, and contacts combined.
Kaiser Permanente NW Classic	You pay any amount over $150 every two calendar years for frames, lenses, and contacts combined.
Kaiser Permanente NW CDHP	You pay any amount over $150 every two calendar years for frames, lenses, and contacts combined.

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 Plus	$0
Uniform Medical Plan Select	$0
Uniform Medical CDHP	15%
Kaiser Permanente NW Classic	$35
Kaiser Permanente NW CDHP	$30

TruHearing Hearing Aid Discount Program Offered in partnership with Vision Service Plan. TruHearing Customer Service (877) 396-7194 or www.truhearing.com TruHearing Summary of Benefits
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 3 calendar years.
Uniform Medical Plan Plus	You pay $0 of the $3,000 benefit limit per ear every 3 calendar years.
Uniform Medical Plan Select	You pay $0 of the $3,000 benefit limit per ear every 3 calendar years.
Uniform Medical CDHP	You pay $0 of the $3,000 benefit limit per ear every 3 calendar years.
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.