VBA Vision
   
 


Capital Region Benefits Mailing Address
Capital Region Benefits
3819 Market Street
Camp Hill, PA 17011

Phone: (717) 975-9300
Fax: (717) 975-9303
   
 

VISION BENEFITS

Vision benefits typically include coverage for eye exams and glasses and/or contacts. Levels of coverage vary depending upon the plan selected.

Capital Administrators, a division of Capital Region Benefits, is the only agency in the United States authorized by VBA to manage enrollments, terminations, and billing for small groups (2-24 enrolled employees).

VBA is one of the largest and best-known providers of vision benefits in America.

VBA Small Group Forms & Information

Employer Group Application
Employee Enrollment/Change/Termination Form)
Termination-Online Submission
Side-by-side Benefit Highlight
Group Communication

VBA Small Group Member Information

How to Manage your VBA Coverage
Frequently Asked Questions
VBA Member Login
VBA Find a Provider
VBA Out-of-Network Reimbursement From
Member ID Card


SMALL GROUP (2-24 enrolled employees):
Minimum of 2 enrolled W2 employees required

Available Plans & Rates Effective 3/1/17 – 2/29/20

Option 1
Benefit Highlight

Option 2
Benefit Highlight

Option 3
Benefit Highlight

Option 4
Benefit Highlight

Single $5.76 $7.85 $8.70 $10.44
Family $11.51 $15.65 $17.40 $20.88
Frequency of Services: Frequency of Services: Frequency of Services: Frequency of Services:
19 & Older Under Age 19 19 & Older Under Age 19 19 & Older Under Age 19 19 & Older Under Age 19
Exam 24 12 12 12 12 12 12 12
Lenses 24 12 12 12 12 12 12 12
Frames 24 24 24 24 12 12 12 12

Note: A $5 monthly administrative billing fee is charged per employer group.

 

*Enrollments and Changes always effective the first of the month

*Terminations always effective last day of the month

*Dependent Coverage: If dependent coverage is being offered by the employer group, eligible dependents may include the covered participant’s spouse, unmarried domestic partners*, and dependent children who have not attained their 26th birthday. Dependent coverage is determined by the employer group.
*Evidence of domestic partnership MUST be provided at time of enrollment

ATTENTION BROKERS: Brokers wishing to be compensated for bringing a group into the small business program must be licensed to write accident and health insurance products. Commissions are paid at 4% of premium paid.

Please click here to download the Broker Appointment application and Form W-9.