Your Vision Plan Keeps Your Eyes Healthy
Did you know that your Vision Plan, administered by VSP, covers routine eye exams every 12 months with just a $20 copay? Plus, the Plan pays generous allowances for frames, lenses, additional pairs and sunglasses (see chart below). For the best benefits, choose a VSP provider. Register and log in on vsp.com to search the network, or call 800-877-7195.
| VISION BENEFITS OVERVIEW | VSP PROVIDER | NON-VSP PROVIDER |
| Well Vision Exam
Routine eye exam every 12 months |
You pay a $20 copay | The Plan pays up to $50 |
| Prescription Glasses | You pay a $20 copay | See Frames and Lenses |
| Frames
Plan pays benefits once every 24 months from the last date of service |
The Plan pays up to:
$120 for selected frames $140 for featured frames $70 at Costco You receive 20% off over allowed amount |
The Plan pays up to $70 for frames |
| Lenses
Plan pays benefits once every 24 months from the last date of service |
The Plan covers standard, premium and custom progressive lenses; you receive 20–25% (average) off other lens options | The Plan pays up to
$50 for single vision $70 for lined bifocal $85 for lined trifocal $70 for progressive |
| Contact Lenses
Contact lenses in lieu of lenses/frames for the 24 month period |
The Plan has a $120 allowance for contact lenses, fitting and evaluation (copay does not apply) | The Plan pays up to $105 for contact lenses |
| Diabetic Eyecare Plus Program
For care for diabetic eye disease, glaucoma and age-related macular degeneration |
You pay a $20 copay | Not applicable |
| Second Pair Purchases
From any VSP doctor within 12 months of your last Well Vision Exam |
You save 20% off the cost of a second pair of prescription glasses or sunglasses | Not applicable |
| Laser Vision Correction
Only available from contracted facilities |
You save 15% off the regular price, or 5% off the promotional price | Not applicable |
Choose Healthy 