Vision Plans

Basic and Opt-Up Vision Plans

Cleveland State University provides a Basic Vision Plan to eligible faculty and staff through Vision Service Plan (VSP). Employees have the option to elect an Opt-Up Vision Plan.

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 Monthly Vision Pre-tax Premiums

Basic Vision Plan Opt-Up Vision Plan
Full-Time Faculty and Staff No premium contributions

Employee Only: $5.98

Family: $17.06
Part-Time Admin Faculty and Staff (30–39 Hours)

Employee Only: $.94

Family: $2.70

Employee Only: $6.92

Family: $19.76
Frequency of Coverage 24 months from date of last service 12 months from date of last service

Vision Summary of Benefits for Basic And Opt-Up Plans

In-Network Open Access (Non-Network) Reimbursement Level
Vision Exam 100% after $15 copay Up to $45
Prescription Glasses $25 copay N/A
Lenses**

100%

Single vision, lined bifocal and lined trifocal lenses

Polycarbonate lenses for dependent children.

Single vision up to $30

Lined bifocal up to $50

Trifocal up to $65
Lens Options** Progressive: covered in full Progressive: Up to $50
Frames

Covered up to plan allowance of $150

$80 Costco allowance

 Up to $70
Contact Lenses
(instead of glasses)

$150 allowance for contacts and exam, if elective;

100% covered if visually necessary

VSP requires proof of visual necessity.

If elective, up to $105;

If visually necessary, up to $210

VSP requires proof of visual necessity.
Claims No claim form required Must file claim for reimbursement within 6 months from date of service.

* 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