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.
Wondering how to access your VSP benefits? Go to vsp.com and click “Create an Account” to get started. Once you’ve set up your VSP member account, you can easily view your benefits, including any copays and coverage for things like glasses, contact lenses, and LASIK. Once you have scheduled an appointment with your provider, all you will need to provide is the last 4 digits of your social security number, your name, and your date of birth.
VSP Vision
Plan Information
Plan Name: VSP Vision
Policy Number: 40161590
Effective Date: 01/01/2025
Provider Network: VSP
In-Network Benefit Highlights
Deductible (Individual/Family)
$XX/$XX
Out-of-Pocket Max (Individual/Family)
$XX/$XX
Preventive Care
$XX
Primary Care Visit
$XX
Specialist Visit
$XX
Urgent Care
$XX
Emergency Room
$XX
Benefit Highlights
In-Network
Exams
$25 copay
Single Vision Lenses
Covered in full after $25 materials copay
Bifocal Lenses
Covered in full after $25 materials copay
Trifocal Lenses
Covered in full after $25 materials copay
Frames
$200 allowance + 20% savings on the amount over your allowance
Contacts (in lieu of glasses)
$150 allowance
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months
Out-of-Network
Exams
Up to $45 allowance
Single Vision Lenses
Up to $30 allowance
Bifocal Lenses
Up to $50 allowance
Trifocal Lenses
Up to $65 allowance
Frames
Up to $70 allowance
Contacts (in lieu of glasses)
Up to $105 allowance
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months