Vision Benefits

Vision insurance offers coverage for the routine care of your eyes and may provide coverage for eyeglasses and contact lenses. Your plan will pay for these services based upon the schedule below. Be sure to check your plan certificate for details.

Keep in mind that your costs will generally be lower if you choose an in-network eye-doctor. To find an in-network eye-doctor, please visit www.vsp.com.

	Standard Plan	Premium Plan*
Well Vision Exam	$10 Copay	$10 Copay
Standard Plastic Lenses
Single Vision	$25 Copay	$25 Copay
Lined Bifocal	$25 Copay	$25 Copay
Lined Trifocal	$25 Copay	$25 Copay
Progressive	$0 (standard)	$0 (standard)
Frames	$130 allowance + 20% savings over allowance	$130 allowance + 20% savings over allowance
Contact Lenses	$130 allowance (instead of glasses)	$130 allowance (instead of glasses)
Frequency
Exam	Every Calendar Year	Every Calendar Year
Lenses	Every Calendar Year	Every Calendar Year
Frames	Every Calendar Year	Every Calendar Year
Contacts	Every Calendar Year	Every Calendar Year

*VSP EasyOptions
This is offered with the Premium Plan only You can get an additional $100 frame allowance, fully covered premium or custom progressive lenses, fully covered light-reactive lenses, or fully covered anti-glare coating.

Per Pay Period Cost	Standard Plan	Premium Plan
Employee	$0.00	$1.53
Employee + Spouse	$3.54	$5.98
Employee + Child(ren)	$3.70	$6.19
Family	$8.49	$12.50

Downloads

Summary of Benefits-Standard Plan

Summary of Benefits-Premium Plan

Group Number

30108092

Provided By

VSP

Provider Website

https://www.vsp.com/

Customer Service

800.877.7195

Resources

Frequently Asked Questions