skip to main content
Vision

Vision

VSP - Vision Service Plan
Eye Exam
  • Co-payment: $10
  • Every 12 months

Lenses
  • Single vision, lined bifocal, and lined trifocal lenses
  • Every 12 months

Frames
  • $115 allowance for frames of your choice
  • 20% off any out of pocket cost
  • Every 24 months

Contact Lens Care
  • $105 allowance
  • 20% off any out of pocket cost
  • If you choose contact lenses you will be eligible for frames in 24 months

Out-of-Network Reimbursement Amounts
  • Exam........................................ Up to $45
  • Single Vision Lenses............... Up to $45
  • Lined Bifocal Lenses............... Up to $65
  • Lined Trifocal Lenses.............. Up to $85
  • Frames..................................... Up to $47
  • Contacts................................... Up to $105
 
Documentation