1.6K
For additional information on vision benefits, please visit the Employee Navigator Portal: https://www.
Vision Claim Form – claim form so employees who have paid out of pocket can submit the claim for reimbursement.
2023 TPSC Vision – 12274947
Plan Summary
Diocese of Yakima is concerned about your financial security and we offer benefit plans designed to protect our employees. Below is the summary for our 2023 TPSC Vision.
***
- 2021 TPSC Dental and Vision Summary of Benefits
- 2023 EBG – Standard
- Vision Booklet – Can be found on Employee Navigator
| Benefit | Benefit Any Provider |
| Frequency | |
| Eye Exams | 12 months |
| Lenses | 12 months |
| Frames | 12 months |
| Benefits | |
| Eye Exams – Copay | $0 |
| Frames – Allowance | Up to $200 total |
| Single Vision Lenses | Up to $200 total |
| Bifocal Lenses | Up to $200 total |
| Trifocal Lenses | Up to $200 total |
| Coverage Level | Monthly Cost | Pay Period Cost |
| Employee | $0.00 | $0.00 |
| Employee + Spouse | $13.00 | $6.50 |
| Employee + Child(ren) | $13.00 | $6.50 |
| Employee + Family | $34.00 | $17.00 |
Eligibility
Eligibility Begins:
1st of the month after + 0 Day(s)
Termination Upon:
End of Month of Termination
Age Limits:
Dependent children to age 26.
26 if a full-time student.