What The Vision Plan Covers

Under the Vision Plan, you and your eligible dependents may each receive—within the frequency guidelines outlined in the table below—the following...

  • A comprehensive vision examination, including a refraction test to determine the need for glasses, binocularity analysis, and testing the overall health of the eyes and related optic structures.

  • Additional testing for glaucoma and depth perception.

  • Necessary prescription lenses and eyeglass frames (within allowable limits). In addition to standard lenses, the Vision Plan also covers polycarbonate lenses, which are extremely durable, scratch-resistant, and lightweight.

  • Contact lenses in lieu of lenses and frames. For example, if you obtain elective contact lenses, you will not be eligible for a new frame for 24 months.*

* Note that the benefits you may receive for elective contact lenses are different than those for medically necessary contact lenses, as outlined in the table below. Contact lenses are only "medically necessary" when conventional lenses and frames cannot correct the problem. To be eligible for this benefit, you must have prior authorization from VSP.

    From Either A...
    VSP Provider Non-VSP Provider**
The Following Benefit... Is Available Every...* After the applicable copayment ($10/exam, $25/materials)

Exam

12 months

Plan pays 100%

Plan pays up to $45

Lenses***

12 months

Plan pays 100%, up to plan maximums

Plan pays up to:

$45 for single vision

$65 for bifocals

$85 for trifocals

$125 for lenticular

Frame***

24 months

Plan pays up to $120

Plan pays up to $47

Medically Necessary Contact Lenses (as defined above)

12 months

Plan pays 100%

Plan pays up to $210

Elective Contact Lenses

In lieu of lenses and frames once every 12 months

Plan pays up to $120

Plan pays up to $105

* Frequency allowances are measured from the last date of service, even if the last time you obtained services you were enrolled with VSP through another employer.

** You must file a claim to receive these benefits.

*** The $25 copayment applies to spectacle lenses and/or frames.
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Benefits For Severe Vision Problems

If you have severe vision problems, as diagnosed by your doctor, the Plan provides "low vision benefits." Upon prior authorization by VSP, these benefits include supplemental testing and optical aides. For more information, contact VSP at 800-877-7195.

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VSP Member Discounts

The VSP Plan features two standard discounts when you visit a VSP provider...

  • Additional pairs of prescription eyeglasses (that is, lenses and frames purchased separate from the Plan's regular benefits) are available at a 20% discount from the VSP provider's usual and customary retail charges.

  • A 15% discount on professional services is available from VSP providers when contact lenses are purchased. The discount is also valid when the contact lens services are in addition to the dispensing of glasses.

These discounts are good for 12 months following the initial covered exam, and must be obtained from the same VSP provider who provided your last covered eye exam.

VSP members also have access to VSP's Laser VisionCareSM Program, including comprehensive information on laser correction and discounted fees from participating surgery centers. For more information, ask your participating eyecare provider, access the VSP website at www.vsp.com or call VSP at 888-354-4434.

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