Schedule of Benefits | Frequently Asked Questions | Vision Video | Enrollment Guidelines

This optional plan does not replace medical coverage for eye disease or injury. Contact your medical plan for these services.

How to Use the Vision Plan

The vision plan offers specific copayments for services at VSP doctors and gives allowances when you obtain services from non-network doctors. To access services, call a VSP doctor to make an appointment. The doctor will need the subscriber’s full name and last four digits of the Social Security number to verify eligibility. Contact VSP for a provider directory. VSP does not issue identification cards.

When services are received from a VSP doctor, reimbursement is made directly to the physician. You only owe your copayments unless optional items are selected that the plan does not cover. Optional items include, but are not limited to:

• Frames that exceed the plan’s allowance.
• Oversized lenses.
• Tints.
• Coatings.
• No-line multifocal lenses.

Ask the VSP doctor the cost of optional items before ordering; however, VSP doctors charge the recommended fees for optional items, so your costs are controlled.

Frequencies are from last date of service:

• Examination, once every 12 months (365 days).
• Contact lenses obtained once every 12 months in lieu of eyeglass lenses.
• Lenses, once every 12 months.
• Frames, once every 24 months.

Additional Services

Polycarbonate Lenses
Covered at a VSP doctor for dependent children at no additional cost.

Value-Added Discount Program
In addition to the discounts you currently receive on prescription glasses, you can now enjoy a 20% discount on additional non-prescription sunglasses. Value-Added discounts are available from any VSP doctor (not only the doctor who performed the exam) within 12 months of the last covered eye exam.

Corrective Laser Surgery
VSP approved laser surgeons and centers provide different types of corrective laser surgeries. The maximum amount you pay is $1,500 per eye for PRK, $1,800 per eye for LASIK or $2,300 per eye for Custom LASIK. Call your VSP provider to check participation in the program. For additional information regarding the Laser Vision Care program, contact VSP at 888.354.4434.

Soft Contact Lenses
Current soft contact lens wearers may qualify for a special contact lens program that includes a contact lens evaluation and initial supply of replacement lenses. Learn more from your doctor or at www.vsp.com.