Vision coverage to keep your world in focus

Even if you don’t need vision correction, an annual eye exam checks the health of your eyes and can even detect more serious health issues such as diabetes, high blood pressure, high cholesterol, and thyroid disease. You’ll even find discounts on services like LASIK, rebates on contact lenses, and money off on other related services.

VSP Vision Plan Features (Group # 30107186)

Your vision checkup is fully covered in-network. VSP offers services in- or out-of-network, but your out-of-pocket costs will be less in the VSP network. The plan covers frames, lenses, and contacts as described below.

	In-Network	Out-of-Network
Copay	Exam: $0 copay Materials: $0 copay	Exam: Reimbursed up to $50 Materials: Reimbursed up to plan allowance
Frames	Coverage limited to $200 per pair (see Second Pair Rider details below), then 80% of remaining balance	Reimbursed up to $70
Lenses	Single Vision: No charge Bifocal: No charge Trifocal: No charge Progressives: No charge Anti-Reflective Coating: No charge Anti-Scratch Coating: No charge Gradient Lenses: No charge High Index: No charge Photochromic: No charge	Single Vision: Reimbursed up to $50 Bifocal: Reimbursed up to $75 Trifocal: Reimbursed up to $100
Contacts (Elective)	Coverage limited to $200 (see Second Pair Rider details below)	Reimbursed up to $105
Frequency	Exam: Once every calendar year Frames: Once every calendar year Lenses: Once every calendar year Contacts (Elective): Once every calendar year (in lieu of lenses and frames)	Exam: Once every calendar year Frames: Once every calendar year Lenses: Once every calendar year Contacts (Elective): Once every calendar year (in lieu of lenses and frames)

Plan Documents

VSP Vision Plan Benefit Summary

Computer VisionCare Plan

Eye Exam

An annual, fully covered (less any applicable copay) comprehensive WellVision exam
Exam specifically designed to detect eye health and vision issues caused by regular computer and digital device use

Eyewear

Frames and lenses fully covered up to your retail allowance (less any applicable copay)
Up to 20% savings on your retail frame allowance (less any applicable copay)
Savings on additional pairs of prescription glasses

Second Pair Rider – Take your pick!

1 pair of glasses (up to $200) and 1 set of elective contacts (up to $200) OR
2 pairs of glasses (up to $200 per pair) OR
2 sets of elective contact lenses (up to $400)