Vision

VSP 12 Month Plan

Benefit Description Copay Frequency
Your Coverage with VSP Doctors and Affiliate Providers*
WellVision Exam
  • Focuses on your eyes and overall wellness
$0 Every plan year
Prescription Glasses $0 See frame and lenses
Frame
  • $130 allowance for a wide selection of frames
  • $150 allowance for featured frame brands
  • 20% savings on the amount over your allowance
Included in Prescription Glasses Every plan year
Lenses
  • Single vision, lined bifocal and lined trifocal lenses
  • Polycarbonate lenses for dependent children
Included in Prescription Glasses Every plan year
Lens Enhancements
  • Standard progressive lenses
  • Premium progressive lenses
  • Custom progressive lenses
  • Average savings of 20-25% on other lens enhancements
  • UV Protection
  • Scratch Resistance Coating
  • Tints

$55

$95 – $105

$150 – $175

$0

$0

$0

Every plan year
Contacts
(instead of glasses)
  • $130 allowance for contacts; copay does not apply
  • Contact lens exam (fitting and evaluation)
$0 Every plan year
Diabetic Eyecare Plus Program Services related to diabetic eye disease, glaucoma and age-related macular degeneration (AMD). Retinal screening for eligible members with diabetes. Limitations and coordination with medical coverage may apply. Ask your VSP doctor for details. $20 As needed
Extra Savings

Glasses and Sunglasses20% savings on additional glasses and sunglasses, including lens enhancements, from any VSP doctor within 12 months of your last WellVision Exam.


Laser Vision CorrectionAverage 15% off the regular price or 5% off the promotional price; discounts only available from contracted facilities

VSP 24 Month Plan

Benefit Description Copay
Your Coverage with VSP Doctors and Affiliate Providers*
WellVision Exam
  • Focuses on your eyes and overall wellness
  • Children to age 19 every plan year
  • Adults Every other plan year*
$0
Prescription Glasses $0
Frame
  • $130 allowance for a wide selection of frames
  • $150 allowance for featured frame brands
  • 20% savings on the amount over your allowance
  • Children to age 19 every plan year
  • Adults Every other plan year
Included in Prescription Glasses
Lenses
  • Single vision, lined bifocal and lined trifocal lenses
  • Polycarbonate lenses for dependent children
  • Children to age 19 every plan year
  • Every other plan year
Included in Prescription Glasses
Lens Enhancements
  • Tints/Photochromic adaptive lenses
  • Scratch-resistant coating
  • UV protection
  • Standard progressive lenses
  • Premium progressive lenses
  • Custom progressive lenses
  • Average savings of 20-25% on other lens enhancements
  • Children to age 19 every plan year
  • Adults Every other plan year
$55 $95 – $105 $150 – $175 $0 $0 $0
Contacts (instead of glasses)
  • $130 allowance for contacts; copay does not apply
  • Contact lens exam (fitting and evaluation)
  • Children to age 19 every plan year
  • Adults every other plan year
$0
Additional Coverage Diabetic Eyecare Plus Program
Extra Savings

Glasses and Sunglasses20% savings on additional glasses and sunglasses, including lens enhancements, from any VSP doctor within 12 months of your last WellVision Exam.

Extra $20 to spend on featured frame brands. Go to vsp.com/specialoffers for details


Laser Vision CorrectionAverage 15% off the regular price or 5% off the promotional price; discounts only available from contracted facilities


Retinal Screening No more than a $39 copay on routine retinal screening as an enhancement to a WellVision Exam.