Vision

by David B. Valdivia

For additional information on vision benefits, please visit the Employee Navigator Portal: https://www.employeenavigator.com/benefits/Account/Login

Vision Claim Form – claim form so employees who have paid out of pocket can submit the claim for reimbursement.

TPSC Vision Claim Form


 

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.
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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.