Vision Plan

Leidos offers two vision plan options - VSP Basic and VSP Plus. Participants may elect coverage for themselves and their families administered by Vision Service Plan (VSP). These plans are designed to provide a variety of eye care services. For more information, download the Vision Coverage SPD document.

Eligibility

A Leidos employee is eligible to enroll in Leidos benefit programs under the following conditions:

Must be an active, regular full-time employee working at least 30 hours per week; or
Must be a part-time employee, regularly scheduled to work at least 12 hours per week but less than 30 hours per week;

Consulting employees, temporary employees, leased workers, payrollees and people classified by Leidos as independent contractors are not eligible to participate in Leidos vision benefit.

Participants may enroll their eligible dependents in the Leidos Vision plans. Eligible dependents include:

The participant's legal spouse or registered domestic partner (if proof of registration with a state or local domestic partner registry is provided or if a Declaration of Domestic Partnership form is submitted).
Each child of the participant or registered domestic partner younger than age 26, including:
- A natural child or stepchild;
- An adopted child (coverage begins as of the earlier of the date the child was placed in the participant's home or the date of final adoption); and
- Any other child who depends on the participant for support and lives with the participant in a parent-child relationship, if the participant provides proof of legal guardianship.
Unmarried children, age 26 and older who are incapable of self-sustaining employment because they are mentally or physically disabled, as long as:
- The mental or physical disability existed while the child was covered under the plan and began before age 26;
- The child is primarily dependent on the participant for support; and
- The participant provides periodic evidence of incapacity.

Participants must update their enrollment in Workday within 31 days of any change in dependent eligibility.

If a Participant's Spouse, Registered Domestic Partner or Dependent Is a Leidos Employee

Double coverage is not permitted under Leidos' benefit programs. Therefore, participants may not cover a spouse, registered domestic partner or dependent child if that spouse, registered domestic partner or child is also a Leidos employee and has elected his or her own coverage.

If a participant and his or her spouse or registered domestic partner are both Leidos employees, each can choose individual coverage or one can cover the other as a dependent — but not both. If the participant has children, only the participant or spouse/registered domestic partner can choose coverage for dependent children, not both.

Dependent Eligibility Verification Process

As a government contractor the company is required by the Defense Contract Audit Agency (DCAA) to demonstrate that our claims for benefit costs are legitimate and ensure that we provide health and welfare benefit coverage only to eligible dependents of our employees. This ongoing verification also assures that the company does not bill the customer for medical costs associated with ineligible dependents.

To support this ongoing effort, the company maintains a Dependent Eligibility Verification (DEV) program which is administered by a third-party administrator, Budco. Throughout the year, Budco verifies that any dependent added to our plans is, in fact, eligible for coverage. This includes dependents who are enrolled as a result of new employees joining the company, a qualifying life event (e.g., marriage, birth), as well as new dependents added to our plans during the annual Open Enrollment (OE) period in the fall.

In addition to the ongoing verification process, the company is also required to perform random dependent verifications - even if an employee's dependents were previously verified. This is necessary in order to ensure that a dependent's eligibility remains unchanged.

If an employee receives a request from Budco to verify current dependents, even if the dependent has been verified before, it is critical that the request is not ignored. Failure to provide the requested documentation within the specified timeframe, will result in the dependent(s) being deemed ineligible and removed from our plans.

Covering ineligible dependents is a violation of the company's Code of Conduct and could expose the company to sanctions from the government. The company's eligibility verification process helps ensure that we are compliant with our requirements as a government contractor.

Questions about the dependent eligibility verification program may be directed to Budco at 866-488-2001, or Employee Services at 855-553-4367, option 3 or [email protected].

The participant may enroll his or her registered domestic partner and the registered domestic partner's eligible dependent children in participating medical, dental and vision plans in which the participant is enrolled.

For purposes of Leidos coverage, a registered domestic partnership is a committed same-sex or opposite-sex relationship, in which registered domestic partners:

Live together at the same address and have lived together continuously for at least one year;
Are not legally married to one another or anyone else;
Do not have another registered domestic partner and have not signed a registered domestic partner declaration with another within the past year;
Are mentally competent to consent to a contract or affidavit;
Are not related by blood in such a way as would prohibit legal marriage; and
Are jointly responsible for each other's common welfare and are financially interdependent.

Employees must submit proof of Domestic Partnership Registration from a state or local domestic partner registry or submit a notarized Declaration of Domestic Partnership and any other required documents in order to enroll a registered domestic partner. The Declaration must be presented to insurers upon request. Contact Employee Services for additional information on enrolling a registered domestic partner coverage.

Registered domestic partner coverage is different from spouse coverage. For instance:

Participant contributions for registered domestic partner coverage and their eligible children must be paid on an after-tax basis;
The value of benefits provided to a registered domestic partner and/or his or her eligible children is considered taxable income. As a result, the Leidos employee must pay any state, federal, FICA and other applicable tax withholding in the form of imputed income. This amount is based on the value of the coverage Leidos provides to the partner.

Paying for Care

Participants are responsible for their share of the insurance premiums and applicable copayments for examinations and eyewear. Premiums are paid via pre-tax payroll deductions. The plan generally pays for prescription glasses, contact lenses and laser eye surgery, up to the applicable allowance. Prices are discounted through VSP network doctors.

Copayments

When a participant receives an eye exam from a VSP network doctor or a non-VSP provider, or obtains glasses or contacts, the participant is subject to the applicable copayment as shown in the table below.

When a participant receives services from a non-VSP provider, the participant is responsible for paying the complete bill at the time of service and applying for reimbursement for the benefits (less applicable copayments) according to the summary of benefits in the table that follows. For more information about what is covered and what is not covered by the plan, participants should contact VSP by calling 1-800-877-7195, or by visiting the VSP web site.

Plan Design

The vision plans through VSP offers participants the flexibility to receive services from a VSP network doctor or a non-VSP provider. No referrals or identification cards are needed to see a VSP doctor.

Coverage

Benefits generally covered under the VSP Basic Plan include:

Vision examination, including the test necessary to ensure visual wellness and to detect potential eye-related medical problems;
Prescription of corrective lenses when indicated;
Single vision, lined bifocal or lined trifocal lenses in glass or plastic;
Standard progressive lenses
A selection of frames to choose from, up to the plan allowance;
Contact lenses in place of prescription glasses;
Discounts and allowances on lenses and frames, contact lens exam and laser eye surgery; and
Type 2 diabetes follow-up services and contact lens exams (evaluation and fitting)

The VSP Plus Plan coverage is inclusive of the benefits under the Basic Plan; however, each covered member may select one of the following enhancements when purchasing their eyewear:

Additional $100 frame allowance
Additional $100 contact lens allowance
Fully-covered premium or custom progressive lenses
Fully-covered anti-reflective coating
Fully-covered light reactive lenses

Effective January 1, 2024, VSP's LightCare Program will allow members of the Basic and Plus plans to use their frame allowance towards ready-made non-prescription sunglasses or non-prescription blue light filtering glasses in lieu of prescription eyewear.

VSP covers the participant's visual needs rather than optional extras or "cosmetic" materials. If a participant selects any of the following cosmetic options listed below, the participant will pay a negotiated VSP member price:

In addition, services and eyewear that aren't covered include:

Orthoptics or vision training and any associated supplemental testing;
Plano lenses (non-prescription lenses);
Two pair of glasses in lieu of bifocals;
Replacement of lenses, frames and/or contact lenses under the plan which are lost or broken except at the normal intervals when services are otherwise available;
Medical or surgical treatment of the eyes;
Corrective vision treatment of an experimental nature;
Costs for services and/or eyewear above benefit allowances;
Refitting of contact lenses after the initial 90-day fitting period;
Contact lens modification, polishing or cleaning;
Services/eyewear not indicated as covered plan benefits.

Network Doctors

Vision care services and eyewear may be obtained from any licensed optometrist, ophthalmologist or dispensing optician. However, the plan generally pays maximum benefits and offers additional discounts when participants receive services and eyewear from VSP network doctors.

Participants pay only a copayment to a VSP doctor for services. VSP will pay the VSP doctor directly according to the plan's agreement with the doctor.

VSP doctors offer additional savings including a 20% discount on additional pairs of prescription glasses (lenses and frame) and sunglasses. Services must be received within 12 months of a participant's last covered eye exam and provided by the same VSP doctor who conducted the exam. Participants can also save 15% off the cost of a contact lens exam when they receive contact lens services from a VSP doctor. (This discount is not available for use at Walmart®, Sam's Club® or Costco® and does not apply to the purchase of contacts).

Non-VSP Providers

To receive the best value from the VSP benefit, a participant should visit a VSP network doctor. If benefits are obtained from a non-VSP provider, the participant must pay the provider in full at the time of service. The participant will be reimbursed by VSP according to the reimbursement schedule listed in the Schedule of Benefits. Services obtained from non-VSP providers are subject to the same copayments and limitations as services obtained from VSP providers.

Filing Claims

For out-of network reimbursement, the participant must pay the entire bill at the time of service, then send the following information to VSP:

An itemized receipt listing:
- Date of service
- Doctor's name or practice name
- Each service received and the amount paid
The participant's name, Social Security Number, phone number and address;
The group number (#12180678);
The patient's name, date of birth, phone number and address; and
The patient's relationship to the participant (such as "self," "spouse," "child," etc.).

Claims for reimbursement must be submitted within six months of the date of service. Participants should keep a copy of the information for their records and send the originals to VSP

To submit a claim online:

Log into your VSP account
Click on "View Your Benefits" then "My Benefits"
Scroll down and click "Submit an Out-Of-Network Claim"
Complete the fields and follow the prompts
Upload your receipts
Click Submit

To submit a claim by mail:

Contact VSP Member Services at 800-877-7195 to request a VSP Member Reimbursement Form. Complete the form and mail it to:

Vision Service Plan (VSP)
Attention: Claims Services
P.O. Box 385018
Birmingham, AL 35238-5018

Claims for reimbursement must be submitted within 365 days of the date of service. Participants should keep a copy of the information for their records and send the originals to VSP.

Contact VSP with any questions about coverage at 1-800-877-7195.

Additional Benefits

VSP has contracted with many laser surgery facilities and doctors, offering participants access to laser vision correction surgery for hundreds of dollars less than they might pay privately. Visit the VSP web site to learn more about the laser surgery program.

The VSP vision plans include access to EyeConic, a VSP preferred online retailer. Eyeconic seamlessly connects your eyewear, your VSP coverage, and the VSP network. Plus, you get the convenience of online shopping along with the personal touch from a VSP doctor. Savings examples include:

30% off Smart Stables collection of eyewear
20% off contact lenses
$20 off non-prescription sunglasses
20% off your second pair of eyewear
20% off specific brand of eyewear

For additional details, refer to the flyer.

VSP is committed to providing eye care that supports members overall health and wellness. That’s
why they offer Essential Medical Eye Care. With your vision benefits from VSP, you have access to supplemental coverage for urgent and medical eye care including:

Fully covered retinal screening for members with diabetes.
Exams and services to treat immediate issues like pink eye and sudden changes in vision.
Treatment options to monitor ongoing health conditions such as dry eye, diabetic eye disease, glaucoma, and more.

Refer to the flyer for additional details.

TruHearing makes hearing aids affordable by providing exclusive savings to all VSP® Vision Care members. You can save up to 60% on a pair of hearing aids with TruHearing. Refer to the flyer for additional details.