CITY OF LAMAR 10 Service IN-NETWORK (Any VSP Provider) Out-of-Network (Any qualified non-network provider of your choice) Eye Exam — once every 12 months $15 copay; covered in full Up to $45 reimbursement LENSES — ONCE EVERY 12 MONTHS Single Vision Lenses $15 copay; covered in full Up to $30 reimbursement Lined Bifocal Lenses $15 copay; covered in full Up to $50 reimbursement Lined Trifocal Lenses $15 copay; covered in full Up to $65 reimbursement FRAMES — ONCE EVERY 24 MONTHS Frames $150 allowance ($80 allowance at Costco); then 20% over your allowance Up to $70 reimbursement CONTACT LENSES — ONCE EVERY 12 MONTHS Medical Necessary $150 allowance Up to $110 reimbursement Contact Lens Exam (Separate Fitting and Evaluation) Up to $60 copay N/A Convention or Disposable Lens $150 allowance Up to $110 reimbursement Administered by County Health Pool (CHP)—VSP Network Your eyes can provide a window to your overall health. Through routine exams your provider may be able to detect general health problems in their early stages along with determining if you need corrective lenses. The City of Lamar knows your vision care is personal and so is your relationship with your eye doctor. That’s why the City of Lamar has partnered with VSP/CHP to provide you with access to affordable care, and quality eyewear. Find an in-network provider or to view and print an ID card at www.vsp.com. VSP does not send out ID cards. VISION BENEFITS
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