VSP Insurance

VSP Vision Care Benefits
BENEFIT	DESCRIPTION	COPAY	FREQUENCY
Well Vision Exam	Focuses on your eyes and overall wellness	$20	Every 12 Months
Prescription Glasses		$20	See frame and lenses
Frame	$130 allowance for a wide selection of frames $150 allowance for featured frame brands 20% savings on the amount over your allowance $70 Costco frame allowance	Included in Prescription Glasses	Every 12 Months
Lenses	Single vision, lined bifocal, and lined trifocal lenses Polycarbonate lenses for dependent children	Included in Prescription Glasses	Every 12 Months
Lens Enhancements	Standard progressive lenses Premium progressive lenses Custom progressive lenses Average savings of 20-25% on other lens enhancements	Included $95-$105 $150-$175	Every 12 Months
Contacts (Instead of glasses)	$130 allowance for contacts: copay does not apply Contact lens exam (fitting and evaluation)	Up to $60	Every 12 Months
Extra Savings	Glasses and Sunglasses Extra $20 to spend on featured frame brands. Go to the vsp website for details. 20% savings on additional glasses and sunglasses, including lens enhancements, from any VSP provider within 12 months of your last WellVision Exam.
Extra Savings	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

VSP