

| Save with VSP Coverage: | Without VSP Coverage |
With VSP Coverage |
|---|---|---|
| Eye Exam | $140 | $ |
| Frame | $130 | $ |
| Single Vision Lenses (Bifocal Lenses) | $84 | |
| Anti-reflective Coating(Remove) | $106 | $61 |
| Transitions® Lenses(Remove) | $97 | $62 |
| Scratch-resistant Coating (Add) | $0 | $0 |
| Polycarbonate Lenses (Add) | $0 | $0 |
| Employee-only Annual Contribution | N/A | $ |
| Total | $557.00 | $263.36 |