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 (if appropriate).

  • Standard prescription lenses and eyeglass frames (within allowable limits). In addition to standard lenses, the Vision Plan also covers polycarbonate lenses for children up to age 18, 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 12 months following the date you obtained contact lenses.*

* 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 provide sufficient vision correction. Your VSP doctor will determine if you are eligible for medically necessary contact lenses.

    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% for clear single vision, lined bifocal or lined trifocal lenses.

Upgrades for tints, progressive lenses, and other coatings are the patient's responsibility at preferred pricing.

Plan pays up to:

$45 for single vision

$65 for bifocals

$85 for trifocals

$125 for lenticular

Frames***

24 months

Plan pays up to $130

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 $130

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.

Additional Prescription Eyeglasses and Non-prescription Sunglasses

You’ll receive 30% off unlimited additional pairs of prescription glasses and non-prescription sunglasses if you purchase them on the same day as your eye exam from the same VSP doctor.

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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 doctor...

  • 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 doctor's usual and customary retail charges.

  • A 15% discount on professional services is available from VSP doctors 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 available from any VSP doctor within 12 months following the initial covered 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 VSP doctor, access the VSP website at www.vsp.com or call VSP at 888-354-4434.

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