Vision Coverage


Highlights

  • ​VSP uses a network of participating providers.

  • VSP pays for the majority of expenses for a number of services when you use a participating provider.

  • VSP also covers laser vision correction surgery at a discounted fee when you use a participating provider.

  • You will not need to file a claim for benefits. Your VSP provider will work directly with VSP.

  • When searching for a participating provider, search the VSP Signature network

  • If you use a non-participating provider, VSP provides a service allowance for most covered services.

Visit vsp.com for more details on your vision benefit and for exclusive savings and promotions for VSP members.

Your Coverage with VSP Doctors and Affiliate Providers*

​Benefit

​Description

​Copay

Frequency

​WellVision Exam

​Focuses on your eyes and overall wellness

​$20

​Every calendar year

​Prescription Glasses

​$25

​See frame and lenses

​Frame

​$150 allowance for a wide selection of frames
$170 allowance for featured frame brands
20% savings on the amount over your allowance
$80 Costco allowance

​​Included in Prescription Glasses

​Every other calendar year

​Lens

​Single vision, lined bifocal, and lined trifocal lenses
Polycarbonate lenses for dependent children

​Included in Prescription Glasses

​Every calendar year

​Lens Enhancements

​Standard progressive lenses
Premium progressive lenses
Custom progressive lenses
Average savings of 35-40% off other lens enhancements

$50
$80 - $90
$120 - $160

​Every calendar year

​Contacts
(instead of glasses)

​$150 allowance for contacts and contact lens exam (fitting and evaluation)
15% savings on a contact lens exam (fitting and evaluation)

​​$0

​Every calendar year

​Diabetic Eyecare Plus
Program

​Services related to diabetic eye disease, glaucoma and age-related macular degeneration (AMD). Retinal screening for eligible members with diabetes. Limitations and coordination with medical coverage may apply. Ask your VSP doctor for details.

​$20

​​As needed

​Extra Savings

Glasses and Sunglasses

  • Extra $20 to spend on featured frame brands. Go to vsp.com/specialoffers for details.

  • 30% savings on additional glasses and sunglasses, including lens enhancements, from the same VSP provider on the same day as your WellVision Exam. Or get 20% from any VSP provider within 12 months of your last WellVision Exam.

Retinal Screening

  • No more than a $39 copay on routine retinal screening as an enhancement to a WellVision Exam

Laser Vision Correction

  • Average 15% off the regular price or 5% off the promotional price; discounts only available from contracted facilities

  • After surgery, use your frame allowance (if eligible) for sunglasses from any VSP doctor.

​Your Monthly
Contribution

​$11.16 Employee only
$17.53 Employee + spouse
$17.87 Employee + child(ren)
$28.83 Employee + family


*Coverage with a participating retail chain may be different. Once your benefit is effective, visit
vsp.com for details.
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.


 

Your Coverage with Other Providers

Visit vsp.com for details, if you plan to see a provider other than a VSP doctor.

​Exam .........up to $50
Frame ....... up to $70
Contacts ....up to $105

​Single Vision Lenses ......up to $50
Lined Bifocal Lenses ......up to $75

​Lined Trifocal Lenses .....up to $100 Progressive Lenses ........up to $75


 

Going Out of Network?

  • When visiting a non-participating provider, copays will still apply. The maximum allowance for Out-of-Network Providers is listed in the benefit summary above. If visiting Walmart or Sam’s Club locations, request an Assignment of Benefits (AOB) to have the copay deducted from the cost of your visit.

  • Participants will need to pay the entire bill at the time of service and submit a claim for reimbursement to VSP.

  • Out-of-network claims must be submitted to VSP within one year from the date of service.


 


 

 Contact Information

 More Information