Mechanics' Local 701 Welfare Fund ~ Medical

BENEFIT	COPAY	DESCRIPTION
VSP WellVision® Plan Through a VSP Doctor
WellVision Exam^SM	$10	Your WellVision Exam is fully covered. If you wear contacts, you need a special contact lens exam to fit them and test your vision. You may have to pay for this exam.
Prescription Lenses	$20 for lenses and/or frame	Single vision, lined bifocal and lined trifocal lenses are fully covered.
Frame	$20 for lenses and/or frame	You have a $120 allowance for any frame. Plus you get 20% off any amount over your allowance.
Contacts instead of glasses	none	You get a 15% discount off the contact lens exam. Plus you get a $120 allowance for your contact lens exam and contacts.
Laser VisionCare^SM		You can have laser correction surgery at a reduced price. And you get a discount on preoperative and postoperative care.

Non-VSP Provider

At a non-VSP provider, your benefit is substantially reduced. VSP doctors provide the best convenience, quality and value-96% of our members are exceptionally satisfied with their VSP doctor's care. Still not sure? Call us to verify your coverage. We can also help you find a doctor who's right for you. Call 1-800-877-7195, Monday - Friday, 5 a.m. to 7 p.m and Saturday 6 a.m. to 2:30 Pacific Time.

This information doesn't guarantee your eligibility or coverage. Your VSP doctor will contact VSP to check your eligibility. If there's a conflict between this information and your organization's contract with VSP, the contract will prevail.
This benefit information is only for VSP doctors, clients, members and their dependents. Any other use is fraudulent and prohibited.

This is a plan description. Not a guarantee of benefits.
Benefits depend on eligibility, date of service and Fund Plan limitations.

In the event of a conflict between the Summary Plan Description,
this web site and the Plan's legal documents, the legal documents will govern.