Vision care is an important part of your overall health. Vision care benefits are provided by Vision Service Provider (VSP) Vision Care using their Choice Network of providers.
You may go to any vision care provider, but when you use a VSP provider, you pay a copayment at the time of service and do not have to file a claim.
|Vision Care||Coverage||Cost When Using a VSP Provider|
|Eye exam||Once every calendar year||Plan pays 100 percent*|
|Lenses||Once every calendar year. Includes basic and bifocals. $40 copay for progressive lenses.||Plan pays 100 percent*|
|Frames||Once every calendar year||Plan pays 100 percent up to $150 retail value*|
|Visually necessary contact lenses||
Once every calendar year in lieu of frames and lenses
Plan pays 100 percent*
|Elective contact lenses||Once every calendar year in lieu of frames and lenses||Professional fees and materials covered up to $150|
*Subject to a $25 copayment for all services combined.
Plan Contribution Rates
|Employee & Spouse/Registered Domestic Partner||$9.45||0.00||$9.45|
|Employee & Child(ren)||$9.65||0.00||$9.65|
|Employee & Family||$15.55||0.00||$15.55|
Medical & Urgent Eye Care
The vision plan includes a primary eyecare benefit for medical and urgent eye care.
This benefit includes:
- Treatment for eye or pain conditions like pink eye
- Tests to diagnose sudden vision changes, detect and track eye conditions such as glaucoma and diabetic eye disease
- Exams to monitor cataracts
Out of Country Access
For services received outside the U.S., members will be reimbursed according to the out-of-network schedule. Members will need to pay for the services at the time of service and submit a request for reimbursement. The reimbursement request needs to include a detailed description of the services received. VSP advises members to use the Member Reimbursement Form available on vsp.com. Members will be reimbursed in U.S. dollars based on the currency exchange rate at the time of service. Members are not required to convert foreign currency into US dollars.