2022 Federal Employees Dental and Vision Insurance Program (FEDVIP) Vision Premium Rate Chart
Plan‐ Option
2022 Biweekly
Premium Rates:
Self‐Only
2022 Biweekly
Premium Rates:
Self Plus One
2022 Biweekly
Premium Rates:
Self & Family
2022 Monthly
Premium Rates: Self‐
Only
2022 Monthly
Premium Rates:
Self Plus One
2022 Monthly
Premium Rates: Self
& Family
Aetna Vision Preferred‐ High $5.67 $11.32 $16.99 $12.29 $24.53 $36.81
Aetna Vision Preferred‐ Standard $3.15 $6.30 $9.45 $6.83 $13.65 $20.48
Blue Cross Blue Shield FEP Vision‐ High $5.55 $11.09 $16.64 $12.03
$24.03 $36.05
Blue Cross
Blue Shield FEP Vision‐ Standard $3.56 $7.11 $10.67
$7.71 $15.41 $23.12
The MetLife Federal Vision Plan‐ High $5.62 $11.23 $16.85 $12.18 $24.33 $36.51
The MetLife Federal Vision Plan‐ Standard $3.37 $6.73 $10.10 $7.30 $14.58 $21.88
UnitedHealthcare Vision Plan‐ High $5.06 $9.88 $14.70 $10.96 $21.41 $31.85
UnitedHealthcare Vision Plan‐ Standard $3.40 $6.62 $9.86 $7.37 $14.34 $21.36
VSP Vision Care‐ High $6.71 $13.44 $20.17 $14.54 $29.12 $43.70
VSP Vision Care‐ Standard
$3.57 $7.13
$10.71 $7.74 $15.45 $23.21
