VSP Vision Plan

Healthy eyes and clear vision are an important part of your overall health and quality of life. You may enroll yourself and your eligible dependents or you may waive vision coverage. You do not have to be enrolled in medical coverage to elect vision coverage or cover the same dependents under medical and vision.

Although vision care services and supplies are covered in-network and out-of-network, your benefits are generally greater when you use in-network providers. Your costs are based on the family members you choose to cover.

Benefit Highlights

In-Network

Exams
$10 copay

Single Vision Lenses
$0 after $25 Prescription Glasses Copay

Bifocal Lenses
$0 after $25 Prescription Glasses Copay

Trifocal Lenses
$0 after $25 Prescription Glasses Copay

Frames
$150 Allowance

Contacts (in lieu of glasses)
$130 Allowance

Frequency

Exams
Once every 12 months

Lenses
Once every 12 months

Frames
Once every 24 months

Contacts
Once every 12 months

Out-of-Network

Get the most out of your benefits and greater savings with a VSP network doctor. Call member services for out of network plan details.

Plan Cost

Employee Only: $XX

Employee and Spouse: $XX

Employee and Child(ren): $XX

Employee and Family: $XX