Vision Benefits

Summary of Benefits

Benefit Description Copay Frequency
Wellness Exam Focuses on your eyes and overall wellness  $5 for exam
and glasses 
Every calendar year 
Prescription Glasses
Frame •  $170 featured frame brands allowance
•  $150 frame allowance
•  20% savings on the amount over your allowance
•  $80 Walmart & Costco® frame allowance
Combined with exam Every calendar year
Lenses •  Single vision, lined bifocal, and lined trifocal lenses
•  Impact-resistant lenses for dependent children
Combined with exam Every calendar year
Lens Enhancements •  Standard progressive lenses
•  Premium progressive lenses
•  Custom progressive lenses
•  Average savings of 40% on other lens enhancements
$50
$80-$90
$120-$160
Every calendar year
Contacts (Instead of Glasses) •  $150 allowance for contacts; copay does not apply
•  15% savings on a contact lens exam (fitting and evaluation)
  Every calendar year
Primary Eyecare •  Retinal screening for members with diabetes
•  Additional exams and services for members with diabetes, glaucoma, or age-related macular degeneration.
•  Treatment and diagnoses of eye conditions, including pink eye, vision loss, and cataracts available for all members.
•  Limitations and coordination with your medical coverage may apply. Ask your VSP doctor for details. 
$0
$20 per exam
As needed


Extra Savings
Glasses and Sunglasses
•  Extra $20 to spend on featured frame brands. Go to vsp.com/offers for details.
•  30% savings on additional glasses and sunglasses, including lens enhancements, from the same VSP provider on the same day as your WellVision Exam. Or get 20% from any VSP provider within 12 months of your last WellVision Exam. 

Routine Retinal Screening
• No more than a $39 copay on routine retinal screening as an enhancement to a WellVision Exam

Laser Vision Correction
• Average 15% off the regular price or 5% off the promotional price; discounts only available from contracted facilities 

YOUR COVERAGE WITH OUT-OF-NETWORK PROVIDERS 
Get the most out of your benefits and greater savings with a VSP network doctor. Call Member Services for out-of-network plan details. 
Coverage with a retail chain may be different or not apply. Log in to vsp.com to check your benefits for eligibility and to confirm in-network locations based on your plan type. VSP guarantees coverage from VSP network providers only. Coverage information is subject to change. In the event of a conflict between this information and your organization’s contract with VSP. the terms of the contract will prevail. Based on applicable laws. benefits may vary by location. In the state of Washington. VSP Vision Care, Inc., is the legal name of the corporation through which VSP does business.