Vision Benefits

Summary of Benefits

Benefit Description Copay Frequency
Wellness Exam Focuses on your eyes and overall wellnessÌý $5 for exam
and glassesÌý
Every calendar yearÌý
Prescription Glasses
Frame • Ìý$200 featured frame brands allowance
• Ìý$180 frame allowance
• Ìý20% savings on the amount over your allowance
• Ìý$180 Walmart, Costco®, and Sam’s Club frame allowance
Combined with exam Every calendar year
Lenses • ÌýSingle vision, lined bifocal, and lined trifocal lenses
• ÌýImpact-resistant lenses for dependent children
Combined with exam Every calendar year
Lens Enhancements • ÌýStandard progressive lenses
• ÌýPremium progressive lenses
• ÌýCustom progressive lenses
• ÌýAverage savings of 40% on other lens enhancements
$50
$80-$90
$120-$160
Every calendar year
Contacts (Instead of Glasses) • Ìý$180 allowance for contacts; copay does not apply
• Ìý15% savings on a contact lens exam (fitting and evaluation)
Ìý Every calendar year
Primary Eyecare • ÌýRetinal screening for members with diabetes
• ÌýAdditional exams and services for members with diabetes, glaucoma, or age-related macular degeneration.
• ÌýTreatment and diagnoses of eye conditions, including pink eye, vision loss, and cataracts available for all members.
• ÌýLimitations and coordination with your medical coverage may apply. Ask your VSP doctor for details.Ìý
$0
$20 per exam
As needed


Extra Savings
Glasses and Sunglasses
• ÌýExtra $20 to spend on featured frame brands. Go to vsp.com/offers for details.
• Ìý30% 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.Ìý

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; discounts only available from contracted facilitiesÌý

YOUR COVERAGE WITH OUT-OF-NETWORK PROVIDERSÌý
Get the most out of your benefits and greater savings with a VSP network doctor. Call Member Services for out-of-network plan details.Ìý
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.Ìý