Vision (chart)

What You Pay For Services

XPO offers two vision plan options — Vision Basic and Vision Buy-up — through VSP. The table below outlines the key features and costs of each plan for in-network coverage. (Limited out-of-network coverage is available.)

2023	VISION BASIC	VISION BUY-UP
Exam	$10 copay every calendar year	$10 copay every calendar year
Lenses	$10 copay every calendar year	$10 copay every calendar year
Frames	$175 allowance every calendar year	$175 allowance every calendar year
Contact Lenses (instead of eyeglass lenses and frames)	$150 allowance	$150 allowance
Contact Lens Exam	$60 copay, then 15% discount	$60 copay, then 15% discount
Retinal Vision Scan	$0 copay; 100% covered	$0 copay; 100% covered
Diabetic Eye Care	$20 copay	$20 copay
Safety Glasses (employee only)	Not available	$10 copay every calendar year

Vision (chart)

What You Pay For Services

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