Catalina offers vision coverage for yourself and your family through VSP Vision Care. It's easy to find an in-network doctor who's right for you. Get the most out of your benefits when you visit a VSP Premier Edge™ location. Visit www.vsp.com.
Vision PPO Plan
| In-network | Out-of-network | |||
|---|---|---|---|---|
| Eye Exams | ||||
| WellVision Exam ® (every calendar year) |
$15 copay | Reimbursed up to $50 | ||
| Glasses | ||||
| Frames (every other calendar year) |
Plan pays up to $130 after $25 copay, then 20% discount | Plan pays up to $70 | ||
| Lenses (every calendar year) |
Single Vision Lined Bifocal Lined Trifocal Polycarbonate1 |
Included with frames copay | Single Vision | Plan pays up to $50 |
| Lined Bifocal | Plan pays up to $75 | |||
| Lined Trifocal | Plan pays up to $100 | |||
| Lens Options (every calendar year) |
Standard Progressive |
$50 copay | Plan pays up to $75 | |
| Premium Progressive | $80-$90 copay | |||
| Custom Progressive | $120-$160 copay | |||
| All other lens options | 35-40% discount | |||
| Contacts (in lieu of glasses) |
||||
| Exam (fitting and evaluation) |
$60 copay | Plan pays up to $105 of the total cost of contacts (exam and lenses) |
||
| Lenses | Plan pays up to $130 | |||
| Other Vision Care Services | ||||
| Diabetic Eyecare Program (as needed) |
$39 copay | Not Covered | ||
| Laser Vision Correction | Average of 15% off regular price or 5% off promotional price. After surgery, you can use your frame allowance (if eligible) for sunglasses purchased from a VSP doctor. |
Discount not applicable | ||
1Polycarbonate lenses are covered for dependent children only.