The VSP vision plans offer coverage for a routine eye exam, frames, and lenses or contact lenses. Additional discounts and savings may be available for sunglasses, lens options, and laser vision correction. You can choose to visit any provider; however, you will save money when you visit an in-network provider. Find an in-network provider at www.vsp.com.
| Plan Features | VSP Vision Plan | |
| In-Network | Out-of-Network | |
| Exam (once per plan year) | $10 copay | $50 / $150 |
| Materials Copay | $25 | N/A |
| Lenses (once per plan year) Single Vision Bifocal Trifocal | No charge to you after you pay materials copay | Plan reimburses: Up to $50 Up to $75 Up to $100 |
| Frames (once every 24 months) | Plan pays up to $150 plus 20% discount on any additional cost | Plan reimburses up to $70 |
| Contact Lenses (once every 12 months; in lieu of glasses) | Plan pays up to $150 | Plan reimburses up to $105 |
| Benefit Plan | VSP Vision Plan |
|---|---|
| Vision | |
| Employee Only | $0.41 |
| Employee + Spouse/Domestic Partner | $5.54 |
| Employee + Child(ren) | $5.65 |
| Employee + Family | $9.12 |
