Compliance Details
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Vision Service Plan - Annual Eye Exam
Vision Service Plan - Eye Hardware
| 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). |
| Lenses | Once every 12 months. Single vision, lined bifocal, lined trifocal lenses, UV ray protection, scratch-resistance coating, anti-reflective coating, and rimless mounting covered; Polycarbonate 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. |
Medical Insurance - Annual Eye Exam
| Contact your plan about cost for children's vision care. |
| Kaiser Permanente WA Classic | $15 |
| Kaiser Permanente WA Value | $30 |
| Kaiser Permanente WA Sound Choice | 20% |
| Kaiser Permanente WA CDHP | 10% |
| Uniform Medical Plan Classic | $0 You pay any amount over
$65 for contact Lens fitting fees. |
| UMP Plus - Puget Sound High Value Network |
| UMP Plus - UW Medicine Accountable Care Network |
| Uniform Medical CDHP |
| Kaiser Permanente NW Classic | $25 |
Medical Insurance - Eye Hardware
| Kaiser Permanente WA Classic | You pay any amount over $150 every 24 months for frames, lenses, and contacts combined. |
| Kaiser Permanente WA Value |
| Kaiser Permanente WA SoundChoice |
| Kaiser Permanente WA CDHP |
| Uniform Medical Plan Classic | You pay any amount over $150 every two calendar years for frames, lenses, and contacts combined. |
| UMP Plus - Puget Sound High Value Network |
| UMP Plus -UW Medicine Accountable Care Network |
| Uniform Medical CDHP |
| Kaiser Permanente NW Classic | You pay any amount over $150 every 24 moths for frames, lenses, and contacts combined. |
| Kaiser Permanente NW CDHP |
Hearing - Annual Exam
| Kaiser Permanente WA Classic | Primary Care $15
Specialist $30 |
| Kaiser Permanente WA Value | $20 |
| Kaiser Permanente WA SoundChoice | 20% |
| Kaiser Permanente WA CDHP | 10% |
| Uniform Medical Plan Classic | $0 |
| UMP Plus - Puget Sound High Value Network | $0 |
| UMP Plus -UW Medicine Accountable Care Network | $0 |
| Uniform Medical CDHP | 15% |
| Kaiser Permanente NW Classic | $35 |
| Kaiser Permanente NW CDHP | $30 |
Hearing Hardware
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 | You pay any amount over $800 every 36 months for hearing aid and rental/repair combined. |
| Kaiser Permanente WA Value |
| Kaiser Permanente WA SoundChoice |
| Kaiser Permanente WA CDHP |
| Uniform Medical Plan Classic | You pay any amount over $800 every three calendar years for hearing aid and rental/repair combined.
(CDHP is subject to deductible) |
| UMP Plus - Puget Sound High Value Network |
| UMP Plus -UW Medicine Accountable Care Network |
| Uniform Medical CDHP |
| Kaiser Permanente NW Classic | You pay any amount over $800 every 36 months for hearing aid and rental/repair combined. |
| Kaiser Permanente NW CDHP | You pay any amount over $800 every 36 months after deductible has been met for hearing aid and rental/repair combined. |
Compliance Details
javascript:commonShowModalDialog('{SiteUrl}'+
'/_layouts/15/itemexpiration.aspx'
+'?ID={ItemId}&List={ListId}', 'center:1;dialogHeight:500px;dialogWidth:500px;resizable:yes;status:no;location:no;menubar:no;help:no', function GotoPageAfterClose(pageid){if(pageid == 'hold') {STSNavigate(unescape(decodeURI('{SiteUrl}'))+
'/_layouts/15/hold.aspx'
+'?ID={ItemId}&List={ListId}'); return false;} if(pageid == 'audit') {STSNavigate(unescape(decodeURI('{SiteUrl}'))+
'/_layouts/15/Reporting.aspx'
+'?Category=Auditing&backtype=item&ID={ItemId}&List={ListId}'); return false;} if(pageid == 'config') {STSNavigate(unescape(decodeURI('{SiteUrl}'))+
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Document Set Version History
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