Vision Service Plan (VSP) has the most extensive network of optometrists and vision care specialists in the country. When you choose a VSP provider, the plan will pay a higher level of coverage.
|Service||VSP Provider||Non-VSP Provider|
If you have type 1 or type 2 diabetes: $20 copay per visit for routine and follow-up diabetic eye care services from a VSP doctor.
|Frame||$10 copay, up to a $180 limit on frames||$70 reimbursement|
|Lenses||Included with frame. Edge treatments, blended and progressive lenses, tints and photochromic lenses, hi-index and polycarbonate lenses, UV, polarized/laminated, scratch- resistant and anti-reflective coatings covered in full. Some limits may apply.*||
|Contact Lenses||$60 copay for contact exam, up to $300 allowance for materials*||$105 reimbursement|
* The plan includes either frames, lenses or contact lenses once every 12 months.
Benefits are available on a rolling 12-month schedule, so you’ll be eligible for a benefit 12 months after you last received it.
For more information about your coverage, exclusions and benefit levels, see the VSP Evidence of Coverage.
VSP does not issue benefit cards. You can print an ID card by logging onto the member portal.
|Coverage Level||Per-Paycheck Cost|
|Employee + Spouse/Domestic Partner||$12.29|
|Employee + Children||$9.84|
|Employee + Family||$14.75|