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Vision

The VSP Vision plan covers you and your covered dependents for routine eye exams, frames, and lenses or contacts. You can visit any provider; however, you will save money when you stay in-network.

Vision Plan Information

 

Plan Features VSP Low Plan*
VSP High Plan*
You pay: You pay:
Exam
(every 12 months)
$0 $0
Frames
(every 24 months)

Amount above allowance:

  • $150 retail
  • $170 featured
  • $150 Walmart
  • $150 Sam’s Club
  • $80 Costco

Amount above allowance:

  • $170 retail
  • $190 featured
  • $170 Walmart
  • $170 Sam’s Club
  • $95 Costco
Lenses
(every 12 months)
Single Vision
Bifocal
Trifocal
Lenticular

 

$25
$25
$25
$25

 

$0
$0
$0
$0

LightCare**
(in lieu of frames or contacts)
$25 copay + amount above $150 allowance
(once every 24 months)
Amount above $270 allowance
(once every 12 months)
Retinal Imaging $0 $0
EasyOptions N/A

Select one at time of service:

  • Additional $100 frame allowance
  • Additional $40 contact lens allowance
  • Upgraded premium or custom progressive lenses
  • Fully covered light-reactive lenses
  • Free anti-glare coating
ProTec Safety (employees only)

Frames (every 24 months)

Lenses (every 12 months)

$25

$25

$25

$25

Contact Lenses (in lieu of lenses and frames) (every 12 months)
Fitting & Evaluation $60 $60
Elective Lenses Amount above $150 allowance Amount above $170 allowance
Medically Necessary Covered in full Covered in full

*In-network coverage shown. For out-of-network coverage details, review your plan summaries.
**LightCare allowance is available for ready-made non-prescription sunglass or ready-made non-prescription blue light filtering glasses only.

Vision ID Cards

VSP does not issue ID cards; however, you can print an ID card by setting up an account at vsp.com. Your vision provider can also call (800) 877-7195 to verify your coverage.

Contact

(800) 877-7195
vsp.com

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