Vision

Vision care is essential to your overall health. Getting regular eye exams helps your doctor detect a variety of medical conditions before they become big problems.

Using Your VSP Plan

Your vision plan is administered by Vision Service Plan (VSP). VSP offers a network of thousands of eye care professionals located throughout the country. You may use any provider, but you will receive greater benefits when you select a VSP Choice Network Preferred Provider. To use your VSP plan, just call a VSP provider to make an appointment and identify yourself as a VSP member. There are no claim forms to file when you use a VSP provider; you simply pay any amounts not covered by the plan. To use other providers, you will need to pay in full for the services and then file a claim with VSP.

Vision

vsp.com
800-877-7195

The VSP Choice Vision Plan is a voluntary vision insurance benefit available to team members, spouses and eligible dependents. This plan is 100% employee-paid and provides coverage for eye exams, glasses, contact lenses and other vision care services through VSP's nationwide network of providers. Choosing a VSP Choice Network provider helps you get the most value from your coverage.

	VSP Choice Vision Plan
	Participating Provider (You Pay)	Non-Participating Provider (Reimbursement)
Exam
Exam	$10 copay	Up to $45
Contact Lenses Examination	Up to $40 copay	N/A
Essential Medical Eye Care	$20 copay	N/A
Lenses
Single Vision	$25 copay	Up to $30
Bifocal	$25 copay	Up to $50
Trifocal	$25 copay	Up to $65
Lens Enhancements (Out-of-pocket Cost)
Standard Progressives	Covered	Up to $50
Premium Progressive Lenses	$95 - $105 copay	N/A
Custom Progressive Lenses	$150 - $175 copay	N/A
Allowances
Retail Frame	Up to $130 (20% off the amount above the allowance)	Up to $70
Feature Frame	Additional $20	N/A
Walmart/Sam’s/Costco	Walmart/Sam’s Club: $130 Costco: $70	N/A
Contact Lenses (in lieu of eyeglass lenses)
Elective	Up to $130	Up to $105
Benefit Frequency
Exams, Lenses, Frames, Contacts	Once every calendar year

VSP EveryEye™ is a basic vision benefit available to team members and their families who are not enrolled in the VSP Choice Vision Plan. EveryEye provides access to routine eye exams and savings on vision care through VSP network providers, helping you care for your eye health.

Who is eligible?

If you do not enroll in the VSP Choice Vision Plan, you, your spouse and/or eligible dependents are covered by EveryEye.
If you enroll in the VSP Choice Vision Plan, those enrolled family members must receive coverage through VSP Choice and are not eligible for EveryEye. Dependents are also not eligible for EveryEye when the team member elects VSP Choice coverage.

EveryEye coverage is only available at VSP network doctors, including Visionworks retail chain locations. This plan is not available at Walmart, Sam’s Club or Costco. Find an in-network provider at vsp.com/eye-doctor. *A complete pair of glasses (frame and lenses) must be purchased in order to receive this pricing. †Before upgrading to progressive lenses, you must pay the cost for base bifocal lenses.
	VSP EveryEye™
	VSP Choice Network
Your Coverage with a VSP Provider		Member Cost
Wellvision Exam	Focuses on your eyes and overall wellness 20% savings on additional exams Every calendar year	$25 copay
Retinal Screening	Images of the inside of the eye used to screen for potential signs of eye disease	Up to $39
Essential Medical Eye Care	Retinal imaging for members with diabetes covered-in-full Additional exams and services beyond routine care to treat immediate issues from pink eye to sudden changes in vision or to monitor ongoing conditions such as dry eye, diabetic eye disease, glaucoma and more. Coordination with your medical coverage may apply. Ask your VSP network doctor for details. Available as needed	$20 per exam
Prescription Glasses
Frame*	25% savings on the retail frame price with the purchase of a complete pair of glasses	Varies
Lenses**	Single vision lenses	$40
	Bifocal lenses	$60
	Trifocal/Lenticular lenses	$75
	Progressive lenses†	$55-$175
	Fully covered impact-resistant lenses for dependent children	$0
Lens Enhancements	Average savings of 30% off additional lens enhancements	Varies
Additional Savings
Glasses and Sunglasses	20% savings on unlimited pairs of non-prescription sunglasses, including lens enhancements, from a VSP provider within 12 months of your last WellVision exam
Contact Lens Exam	15% savings on a contact lens exam (fitting and evaluation)
Laser Vision Correction	Average of 15% off the regular price; discounts only available from contracted facilities