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.
VSP Vision
Plan Information
Plan Name: VSP Vision
Policy Number: 03356975
Effective Date: 04/01/2025
Network: VSP Choice
Benefit Highlights
In-Network Only
Exams
$25 copay for exam and glasses
Single Vision Lenses
$0
Bifocal Lenses
$0
Trifocal Lenses
$0
Frames
$200 maximum allowance
Contacts (in lieu of glasses)
Up to $60 copay ($150 allowance)
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months