Vision Insurance
Vision Insurance
|
Benefit Design |
Frequency |
In-Network |
Out-of-Network |
|
Vision Exam |
Every 12 mos |
$10 copay |
Up to $52 |
|
Lenses |
Every 12 mos |
$25 Copay |
|
|
Single |
|
|
Up to $55 |
|
Lined Bifocal |
|
|
Up to $75 |
|
Lined Trifocal |
|
|
Up to $95 |
|
Lenticular |
|
|
Up to $125 |
|
Frames |
Every 24 mos |
$130 allowance for frames of your choice and 20% off the amount over the allowance |
$57 |
|
Elective Contact Lenses |
Every 12 mos |
$130 allowance for contact lens exam & materials |
Up to $105 |
|
Additional Glasses and Sunglasses Discount |
30% off from the same VSP doctor on the same day as your exam. Or get 20% off from any VSP doctor within 12 mos of your last exam. |
N/A |
|
|
Monthly Premiums |
VISION |
|
Employee Only |
$10.78 |
|
Employee + Spouse |
$21.56 |
|
Employee + Children |
$21.85 |
|
Family |
$34.05 |
Click this link - Vision Plan Summary Sheet - to view more information regarding services covered.
Locating an In-Network VSP Doctor: You get the most from your vision benefits when you visit a VSP doctor. You’ll find a listing of doctors at vsp.com or by calling 800.877.7195.
Using your Vision Benefit: No ID cards required! Simply tell your VSP doctor you’re a member and they will handle the rest. If you see a non-VSP provider, you’ll receive a lesser benefit (refer to the chart above). Before seeing a non-VSP provider, call VSP at 800.877.7195 for more details.
Out-of-Network Providers: If you need to file an out-of-network vision claim:
- Go to www.vsp.com
- At the bottom of the page, below Contact Us, look for the link to FAQ
- Click on Claims & Reimbursements
- Review the sections on Submit a Claim and Online vs Mail Claim Submission
- Be sure your receipts have been scanned and are accessible by your device.
If you prefer to submit your claim via mail, please contact Member Services at 800.877.7195 to obtain a VSP Member Reimbursement Form.

