Where can I get an eye exam?Can I get both glasses and contacts?Is LASIK covered?

Network Options: VSP Network
Make an appointment and tell your provider you are a VSP memeber. Your provider and VSP will take care of you from there.

Vision with VSP is as easy as 1, 2, 3
ID cards and claim forms are a thing of the past!

Find a VSP network provider
(800) 877-7195 | vsp.com | Group #30017411

Vision Plan

 
VSP NETWORK
 
In-Network
Out-of-Network
Routine Vision Exams
Contacts Fitting & Evaluation
You pay a $10 copay
You pay a $60 copay
Plan reimburses up to $50
Plan reimburses up to $105
Frequency
Contacts, Exams, Frames, and Lenses
Once
per calendar year
Lenses
Single Vision 1
Lined Bifocal 1
Lined Trifocal 1
You pay
$25 copay
$25 copay
$25 copay
Plan reimburses
Up to $50
Up to $75
Up to $100
Frames
Plan provides a $200 allowance 2
Plan reimburses up to $70
Contact Lenses
Prescription Medically Necessary
Prescription Elective in lieu of Eyeglass
 
You pay 0% after a $25 copay
Plan provides a $130 allowance
 
Plan reimburses up to $210
Plan reimburses up to $105
1 Limited to standard, uncoated plastic lenses
2 A 20% discount is applied to frames over the $200 allowance

Employee Premiums are paid 100% for Vision Exam Only plan if enrolled in Medical.

This information is designed to help you choose a benefit plan for 2022 only. Please refer to the Plan Documents provided by the carrier for information regarding coverage, limitations and exclusions. If there is a difference between this guide and the Plan Documents, the Plan Documents prevail.
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