Vision
Healthy eyes and clear vision are an important part of your overall health and quality of life. You may enroll yourself and your eligible dependents or you may waive vision coverage. You do not have to be enrolled in medical coverage to elect vision coverage or cover the same dependents under medical and vision.
Although vision care services and supplies are covered in-network and out-of-network, your benefits are generally greater when you use in-network providers. Your costs are based on the family members you choose to cover.
VSP Core Vision
Benefit Highlights
In-Network
Exams
No charge
Single Vision Lenses
$25 copay
Bifocal Lenses
$25 copay
Trifocal Lenses
$25 copay
Frames
$25 copay up to $200
Contacts (in lieu of glasses)
$60 copay fitting/evaluation up to $150
Frequency
Exams
Once every calendar year
Lenses
Once every 2 calendar years
Frames
Once every 2 calendar years
Contacts
Once every 2 calendar years
Out-of-Network Reimbursement
Exams
Up to $45
Single Vision Lenses
Up to $30
Bifocal Lenses
Up to $50
Trifocal Lenses
Up to $65
Frames
Up to $70
Contacts (in lieu of glasses)
Up to $105
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Monthly Plan Cost
Employee Only: $4.64
Employee and Spouse: $11.60
Employee and Child(ren): $8.35
Employee and Family: $14.39
VSP Buy-Up Vision
Benefit Highlights
In-Network
Exams
No charge
Single Vision Lenses
$25 copay
Bifocal Lenses
$25 copay
Trifocal Lenses
$25 copay
Frames
$25 copay up to $200
Contacts (in lieu of glasses)
$60 copay fitting/evaluation up to $150
Frequency
Exams
Once every calendar year
Lenses
Once every calendar year
Frames
Once every calendar year
Contacts
Once every calendar year
Out-of-Network Reimbursement
Exams
Up to $45
Single Vision Lenses
Up to $30
Bifocal Lenses
Up to $50
Trifocal Lenses
Up to $65
Frames
Up to $70
Contacts (in lieu of glasses)
Up to $105
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Monthly Plan Cost
Employee Only: $8.65
Employee and Spouse: $21.63
Employee and Child(ren): $15.58
Employee and Family: $26.83