Oklahoma
Masons - Vision
Services Plan
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| Oklahoma
Masons Vision
Services Plan Design: |
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| For
information regarding your current services available,
and for a listing of VSP providers, |
| please visit the VSP website at www.vsp.com
and click on the members box on the right hand side. |
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| In-Network
Exam: |
| One
Exam,
with a $15 Co-Pay (Low Plan), $10 Co-Pay (High Plan), Plan
pays the balance. |
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| In-Network
Lenses: |
One
Set of Lenses,
with a $25 Co-Pay, Plan pays the balance for
single, bi-focal, and tri-focal lenses.
|
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| In-Network
Frames: |
| One
set of frames,
plan pays upto $110 (Low Plan), $120 (High Plan),
member receives 20% for amounts over the frame
allowence amount. |
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| In-Network
Contacts: |
| One
set of contacts, in
leiu of Lenses & Frames, plan pays up to $120,
member recives 20% for amounts over $120. |
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| In-Network
Options: |
| Tints:
Discounted |
| Photocromics: Discounted (Low Plan), 100% Covered (High
Plan) |
| Dyes:
Discounted |
| Progressive
Lenses for Children: 100% Covered |
| Progressive
Lenses for Adults: Discounted |
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Rates:
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| Low
Plan (Annual Rates) |
Equivalent Monthly
Fee |
Complete
Service Fee |
Credit
Card Handling Fee |
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| Member Only: |
$
7.95 |
$
95.40
|
$3.15
|
$
98.55
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| Member & Spouse: |
$14.95 |
$179.40
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$5.92
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$185.32
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| Member & Child(ren): |
$15.95 |
$191.40
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$6.32
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$197.72
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| Member & Family: |
$24.45 |
$293.40
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$9.68
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$303.08
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| High
Plan (Annual Rates) |
Equivalent
Monthly Fee
|
Complete
Service Fee
|
Credit
Card Handling Fee
|
Total
Annual Cost
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| Member
Only: |
$
8.95
|
$107.40
|
$3.54
|
$110.94
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| Member & Spouse: |
$16.95
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$203.40
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$6.71
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$210.11
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| Member & Child(ren): |
$17.95
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$215.40
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$7.11
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$222.51
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| Member & Family: |
$27.45
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$329.40
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$10.88
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$340.28
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| Some
Useful Documents: |
| Plan
Summary (pdf 31Kb) |
| Vision
Facts & Stats (pdf 1.36Mb) |
| New
Member Letter (pdf) |
| HIPAA
Privacy Notice (pdf 47Kb) |
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| Please Note: |
You will
receive an email confirmation upon completion of this process
welcoming you to your new vision plan. |
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