The vision plan covers you and your covered dependents for routine eye exam, frames, and lenses or contacts. You can choose to visit any provider; however, you’ll save money when you stay in-network. Find an in-network provider at www.vsp.com.
| Plan Features | VSP Signature | |
|---|---|---|
| In-Network | Out-of-Network | |
| You pay: | Plan reimburses you: | |
| Exam every 12 months | $0 | Up to $50 |
|
Eyeglass Lenses every 12 months |
$20 copay |
|
| Frames every 24 months | Amount above $150 allowance + 20% off remaining balance | Up to $70 |
|
Safety Frames (Protec Eyewear)* every 24 months |
Safety kit covered in full $160 allowance + 20% off remaining balance |
N/A N/A |
| Contact Lenses (elective)** every 12 months Conventional Fitting & Evaluation |
Amount above $150 allowance Up to $60 copay |
Up to $105 |
*Fully covered when you choose a safety frame from your VSP doctor’s ProTec Eyewear® collection or Visionworks’ safety frame selection. $160 frame allowance for any other safety frame outside of the ProTec Eyewear collection only available from a VSP provider, 20% savings on the amount over your allowance.
**In lieu of glasses