Vision

Overview

To help you keep your vision strong and eyes healthy, vision coverage from Vision Service Plan (VSP) covers annual exams and correction treatment. The coverage saves you money on eligible vision care expenses such as eye exams, glasses, and contact lenses.

Your vision plan options are:

• Low Plan, designed for participants who expect to need only basic services
• High Plan, designed for participants who expect to need more comprehensive services

Key features at a glance:

• Flexible designs that provider you choose and receive benefits.
• Affordable coverage that helps you manage the cost of vision care.
• Wide network of providers that have agreed to negotiated rates, which helps you save money.
• In-network cost savings — When you use a VSP network doctor for an eye exam or to purchase eyeglasses, you pay less than if you go outside of the network. In addition, VSP providers take care of all the paperwork, saving you the task of filing claim forms and the need to wait for reimbursement when you receive services from out-of-network providers.

Find a network provider

You’ll generally pay less out-of-pocket when you use an in-network eye doctor. Visit VSP for more information.

Coverage Details

The Vision Plan covers one eye exam every calendar year and one pair of eyeglasses (or contact lenses) every calendar year for you and each covered dependent, after the applicable copay.

In-network

Out-of-network (copays apply to out-of-network billed amounts)

Services not covered

• Eye exams as a condition of employment, medical or surgical treatment (may be covered under Medical Plan)
• Nonprescription lenses
• Prescription goggles
• Safety eyewear
• Replacement and repair of lost or broken lenses
• Vision training
• Services covered by Workers’ Compensation
• Two pairs of glasses instead of bifocals

Using Your Vision Plan

Here’s how to make the most of your vision benefits:

• Use VSP providers. When you use a VSP network doctor for an eye exam or to purchase eyeglasses, you pay less than if you go outside the network. In addition, VSP doctors take care of all of your paperwork; there are no claims to file. If you don’t use a VSP doctor, you’ll receive an allowance toward your incurred expenses. You’ll pay for expenses when you receive them, then submit a claim for plan reimbursement.
• File all claims promptly. If you use an out-of-network provider, you must file your claim within six months of the date of service.
• Use VSP discounts. Visit VSP for a list of available discounts.

Eyeconic — the VSP online eyewear store

Eyeconic is an online store where plan participants can purchase prescription and non-prescription eyewear. Shop online at Eyeconic and choose from the most popular brands of designer eyewear and contact lenses, at competitive prices. All VSP members receive a 20% discount on prescription and non-prescription eyewear purchased through the online store.

What’s more, as a VSP member, you’ll enjoy the highest savings available when you use your in-network VSP insurance for prescription glasses or contact lenses.

Diabetic EyeCare Plus program

If you have diabetic eye disease, glaucoma, or age-related macular degeneration (AMD), you can receive routine care and follow-up medical eye services at your VSP doctor for a $20 copay. If you have diabetes but do not show signs of diabetic eye disease, you can also receive preventive retinal screenings at no cost to you.

To get started, find a VSP doctor by calling 1-800-877-7195 or visiting VSP. No VSP ID card is needed — simply inform your doctor’s office that you have VSP coverage.