Vision by VSP
Eye exams are vital to your overall wellbeing. Not only can they detect signs of potentially blinding conditions like glaucoma, diabetic eye disease, and macular degeneration, but they can also detect signs of cardiovascular disease, hypertension, diabetes and high cholesterol – issues that may go unnoticed.
This plan allows you to use any eye care provider but choosing a VSP Choice Network provider will give you the highest benefits and lowest out-of-pocket costs. Find local providers at: www.VSP.com
| Benefit | VSP Choice Provider | Non-Network Provider |
| Eye Exam | Covered in Full | $45 |
| Lenses
Single Vision Bifocal Trifocal Lenticular Progressive (Standard) |
Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full |
$30 $50 $65 $100 N/A |
| Contacts
Fit & Follow-Up Exam Elective |
$60 Co-Pay $200 |
Not Covered $105 |
| Frames | $200 | $70 |
| Deductible | Exam: $10 / Material: $25 | |
| Frequency (Months) | Exam: 12 / Lens: 12 / Frame: 24 | |
| Lens Options at VSP Providers | Member Co-Pay |
| Progressive Lenses (Premium & Custom) | $40 |
| Polycarbonate (Standard) | Child: $0 / Adult: $33 |
| Dye (Plastic Gradient / Solid Plastic) | $15 – $17 |
| Photochromatic Lenses | $31 – $82 |
| Scratch Resistant Coating | $17 – $33 |
| Anti-Reflective Coating | $43 – $85 |
| Ultraviolet Coating | $16 |