Vision Plan Summary
VSP
PROVIDER NETWORK: VSP Choice
Premier Program
Benefit |
Description |
Co-pay |
Frequency |
---|---|---|---|
WELLVISION EXAM |
Focuses on your eyes and overall wellness |
$10 |
Every Calendar year |
ESSENTIAL MEDICAL EYE CARE |
|
$20 per screening $20 per exam
$20 Per exam |
Available as needed Available as needed
Available as needed |
PRESCRIPTION GLASSES |
$25 |
||
FRAME+ |
$170 featured frame brands allowance $150 frame allowance 20% savings on the amount over your allowance $80 Costco® frame allowance |
Included in Prescription Glasses |
Every other calendar year |
LENSES |
Single vision, lined bifocal, and lined trifocal lenses Impact-resistant lenses for dependent children |
Included in Prescription Glasses |
Every calendar year |
LENS ENHANCEMENTS |
Standard progressive lenses Premium progressive lenses Custom progressive lenses Average savings of 30% on other lens enhancements |
$0 $95 - $105 $150 - $175 |
Every calendar year |
CONTACTS (INSTEAD OF GLASSES) |
$130 allowance for contacts; copay does not apply Contact lens exam (fitting and evaluation) |
Up to $60 |
Every calendar year |
EXTRA SAVINGS |
Glasses and Sunglasses
|
||
Routine Retinal Screening
|
|||
Laser Vision Correction
|
|||
YOUR COVERAGE GOES FURTHER IN-NETWORK |
|||
With so many in-network choices, VSP makes it easy to get the most out of your benefits. You’ll have access to preferred private practice, retail, and online in-network choices. Log in to vsp.com to find an in-network provider. |
+Coverage with a retail chain may be different or not apply.
VSP guarantees member satisfaction from VSP providers only. Coverage information is subject to change. In the event of a conflict between this information and your organization’s contract with VSP, the terms of the contract will prevail. Based on applicable laws, benefits may vary by location. In the state of Washington, VSP Vision Care, Inc., is the legal name of the corporation through which VSP does business. TruHearing is not available directly from VSP in the states of California and Washington.