Vision Plan Summary

VSP members save an annual average of $489 * More Ways to Save Additional $50 to spend on Featured Frame Brands† and more Up to 40% Savings on lens enhancements‡ See all brands and offers at vsp.com/offers. Enroll through your employer today. Questions? vsp.com 800.877.7195 (TTY: 711) Scan QR code or visit vsp.com to learn more. Routine eye exams have saved lives. Did you know an eye exam is the only non-invasive way to view blood vessels in your body? Your VSP® network doctor can detect signs of more than 270 health conditions during your annual eye exam—including diabetes and high blood pressure, as well as eye conditions such as glaucoma and diabetic eye disease.** Savings you'll love. See and look your best without breaking the bank. VSP members get exclusive savings on popular frame brands and contact lenses, and they get additional discounts on things like LASIK, and more. The choice is yours! With private practice doctors, Visionworks®, and Eyemart Express retail locations to choose from nationwide, getting the most out of your benefits is easy at a VSP Premier Edge TM location. Using your benefit is easy! Create an account on vsp.com to view your in-network coverage, find the VSP network doctor who’s right for you, and discover savings with exclusive member extras. At your appointment, just tell them you have VSP. †Frame brands and promotion subject to change. Only available to VSP members with applicable plan benefits. Only available at in-network locations. Members who participate in a Medicaid/state-funded plan are not eligible. ‡Savings based on doctor’s retail price and vary by plan and purchase selection; average savings determined after benefits are applied. Ask your VSP network doctor for more details. *Based on state and national averages for eye exams and most commonly purchased brands. This represents the average savings for a VSP member with a full-service plan at an in-network provider. Your actual savings will depend on the eyewear you choose, the plan available to you, the eye doctor you visit, your copays, your premium, and whether it is deducted from your paycheck pre-tax. Source: VSP book-of-business paid claims data for Aug-Jan of each prior year. **Full Picture of Eye Health, American Optometric Association, 2020. +Coverage with a retail chain may be different or not apply. VSP guarantees member satisfaction from VSP providers only. Coverage information is subject to change. In the event of a conflict between this information and your organization’s contract with VSP, the terms of the contract will prevail. Based on applicable laws, benefits may vary by location. In the state of Washington, VSP Vision Care, Inc., is the legal name of the corporation through which VSP does business. TruHearing is not available directly from VSP in the states of California and Washington. VSP Premier Edge TM is not available for some members in the state of Texas. To learn about your privacy rights and how your protected health information may be used, see the VSP Notice of Privacy Practices on vsp.com. Visionworks, Eyeconic, and Eyemart Express family of stores are VSP-affiliated companies. ©2025 Vision Service Plan. All rights reserved. VSP, Eyeconic, and WellVision Exam are registered trademarks, and VSP LightCare TM+ and VSP Premier Edge are trademarks of Vision Service Plan. All other brands or marks are the property of their respective owners. 136668 VCCM Classification: Restricted Make Eye Health a Priority with VSP! Your health comes first with VSP and BALL STATE UNIVERSITY. Take a look at your VSP vision care coverage.

Your VSP Vision Benefits Summary Prioritize your health and your budget with a VSP plan through BALL STATE UNIVERSITY. Get coverage for essentials, or upgrade to enhance your coverage options. COPAY DESCRIPTION BENEFIT COPAY DESCRIPTION BENEFIT Premium Coverage with a VSP Provider Standard Coverage with a VSP Doctor $0 WELLVISION EXAM $15 WELLVISION EXAM Focuses on your eyes and overall wellness Focuses on your eyes and overall wellness Up to $39 Up to $39 Routine retinal screening Routine retinal screening Every calendar year Every calendar year ESSENTIAL MEDICAL EYE CARE ESSENTIAL MEDICAL EYE CARE Retinal imaging for members with diabetes covered-in-full Retinal imaging for members with diabetes covered-in-full $20 per exam $20 per exam Additional exams and services beyond routine care to treat immediate issues from pink eye to sudden changes in vision or to monitor ongoing conditions such as dry eye, diabetic eye disease, glaucoma, and more. Additional exams and services beyond routine care to treat immediate issues from pink eye to sudden changes in vision or to monitor ongoing conditions such as dry eye, diabetic eye disease, glaucoma, and more. Coordination with your medical coverage may apply. Ask your VSP network doctor for details. Coordination with your medical coverage may apply. Ask your VSP network doctor for details. Available as needed Available as needed PRESCRIPTION GLASSES $25 PRESCRIPTION GLASSES Included in Prescription Glasses FRAME⁺ $0 FRAME⁺ $170 Featured Frame Brands allowance $250 Featured Frame Brands allowance $150 frame allowance $250 Visionworks or Eyemart Express frame allowance on any frame 20% savings on the amount over your allowance $200 frame allowance $80 Walmart/Sam's Club/Costco frame allowance 20% savings on the amount over your allowance Every other calendar year $110 Walmart/Sam's Club/Costco frame allowance Included in Prescription Glasses LENSES Single vision, lined bifocal, and lined trifocal lenses Every calendar year $0 LENSES Impact-resistant lenses for dependent children Single vision, lined bifocal, and lined trifocal lenses Every calendar year Every calendar year $0 LENS ENHANCEMENTS $0 LENS ENHANCEMENTS Standard progressive lenses Standard progressive lenses $95 - $105 Premium progressive lenses $95 - $105 Premium progressive lenses $150 - $175 Custom progressive lenses $150 - $175 Custom progressive lenses Average savings of 30% on other lens enhancements $0 Impact-resistant lenses $0 UV protection Every calendar year Average savings of 30% on other lens enhancements Up to $60 CONTACTS (INSTEAD OF GLASSES) Every calendar year $150 allowance for contacts; copay does not apply Up to $60 CONTACTS (INSTEAD OF GLASSES) Contact lens exam (fitting and evaluation) $200 allowance for contacts; copay does not apply Every calendar year Contact lens exam (fitting and evaluation) $25 VSP LIGHTCARE TM+ $150 allowance for ready-made non-prescription sunglasses, or ready-made non-prescription blue light filtering glasses, instead of prescription glasses or contacts. Every calendar year VSP LIGHTCARE TM⁺ $0 $200 allowance for ready-made non-prescription sunglasses, or ready-made non-prescription blue light filtering glasses, instead of prescription glasses or contacts Every calendar year Every calendar year Glasses and Sunglasses ADDITIONAL SAVINGS Discover all current eyewear offers and savings at vsp.com/offers. 20% savings on unlimited additional pairs of prescription or non-prescription glasses/sunglasses, including lens enhancements, from a VSP provider within 12 months of your last WellVision Exam. Laser Vision Correction Average of 15% off the regular price; discounts available at contracted facilities. Exclusive Member Extras for VSP Members Contact lens rebates, lens satisfaction guarantees, and more offers at vsp.com/offers. Save up to 60% on digital hearing aids with TruHearing®. Visit vsp.com/offers/special-offers/hearing-aids for details. Enjoy everyday savings on health, wellness, and more with VSP Simple Values. GET MORE AT PREFERRED IN-NETWORK LOCATIONS With so many in-network choices, VSP makes it easy to get the most out of your benefits. You’ll have access to preferred private practice, retail, and online in-network choices. Log in to vsp.com to find an in-network provider. Provider Network: VSP Choice Effective Date: 01/01/2026