Vision Plans
Basic and Opt-Up Vision Plans
The Basic Vision Plan provides covered services once in a 24-month period from the date of last service. The Opt-Up Vision Plan provides covered services once in a 12-month period from the date of last service, including enhanced coverage for tints and photochromic lenses for eyeglasses or “transition” lenses. In addition, each plan allows for limited reimbursement for services provided out-of-network by non-VSP providers; the member can pay at the point services are received and submit a claim for reimbursement of out-of-pocket cost within six months of receiving services.
Find a Vision Provider
VSP’s preferred provider organization (PPO) network has a large selection of retail providers. You can maximize vision benefits through both plans by using VSP’s PPO network with covered services for eye care examinations, frames and eyeglasses or contacts. To find the nearest location for PPO network providers, contact VSP at vsp.com or 800.877.7195.
Employee Semi-Monthly Vision Contributions
| Basic Vision Plan | Opt-Up Vision Plan | |
|---|---|---|
| Full-Time (Semi-Monthly) | ||
| Employee | No premium contributions | $2.99 |
| Family | No premium contributions | $8.53 |
| Frequency of Coverage | 24 months from last date of service | 12 months from last date of service |
| Part-Time (Semi-Monthly) | ||
| Employee | $0.47 | $3.46 |
| Family | $1.35 | $9.88 |
| Frequency of Coverage | 24 months from last date of service | 12 months from last date of service |
Benefit deductions occur on a semi-monthly schedule. If you are paid bi-weekly, no benefit premiums will be deducted from the third paycheck in months with three pay dates.
Vision Summary of Benefits for Basic And Opt-Up Plans
| In-Network | Out-of-Network | |
|---|---|---|
| Exam (Once per Calendar Year) | 100% after $15 copay | Reimbursement up to $45 |
| Prescription Glasses Lenses (Once per Calendar Year) |
Single Vision: 100% Lined Bifocal: 100% Lined Trifocal: 100% |
Single Vision: Reimbursement up to $30 Lined Bifocal: Reimbursement up to $50 Lined Trifocal: Reimbursement up to $65 |
| Lens Options | Progressive: covered in full | Progressive: up to $50 |
| Frames (Once per Calendar Year) |
Covered up to plan allowance of $150 $80 Costco allowance |
Up to $70 |
| Contacts (Once per Calendar Year, In Lieu of Glasses) |
$150 allowance for contacts and exam, if elective; 100% covered if visually necessary |
$105 allowance for contacts and exam, if elective; up to $210 if visually necessary |
* The Opt-Up also includes enhanced coverage for lenses for eyeglasses, including coverage for tints and photochromic or
“transition” lenses.
** See VSP Vision Benefit Summary for coverage specifics and limitations.
Login to Your Account at vsp.com to:
- Choose a VSP network doctor
- Print an ID card
- View your personal eye care coverage
- Find the latest eye health information
- Learn about special discounts and promotions
- Or call 800.877.7195