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VSP Eyecare Plan

Eyecare Benefit Summary*

Your Coverage

When visiting a VSP network doctor, you'll recieve:
Exam covered in full........................................every 12 months
Prescription Glasses
   Lenses covered in full....................................every 24 months
   Single vision, lined bifocal and lined trifocal lenses
   Frames......................................................every 24 months
   Frame of your choice covered up to $120. Plus, 20% off any out-of-pocket costs.

~OR~

Contacts.......................................................every 24 months
When you choose contacts instead of glasses, your $105 allowance applies to
the cost of your lenses and the fitting and evaluations exam. This exam is in
addition to your vision exam to ensure proper fit of contacts.

 

Extra Discounts and Savings

Laser Vision Correction Discounts
Prescription Glasses
   ●Up to 20% savings on lens extras such as scratch resistant and anti-reflective
     coatings and progressives
   ●20% off additional prescription glasses and sunglasses
Contacts
   ●Exclusive pricing on annual supplies of popular brands
   ●15% off cost of contact lens exam (fitting and evaluation)

 

Your Copays

Exam................................................................................................$10
Prescription Glasses.............................................................................$25
Contacts...........................................................................No copay applies
Dollar for dollar you get the best value from your VSP benefit when you visit a VSP network doctor. If you decide not to see a VSP doctor, copays still apply. You'll also receive a lesser benefit and typically pay more out-of-pocket. You are required to pay the provider in full at the time of your appointment and submit a claim to VSP for partial reimbursement. If you decide to see a provider not in the VSP network, call us first at 800-877-7195.
Reimbursement Amounts:
   Exam......................................................................Up to $45
Lenses:
   Single Vision..............................................................Up to $45
   Bifocal.....................................................................Up to $65
   Trifocal....................................................................Up to $85
   Frame......................................................................Up to $47
   Contact Lenses..........................................................Up to $105
* VSP guarantees service from VSP network doctors only.
*In the event of a conflict between this information and your organization's contract with VSP, the terms of the contract will prevail.