Vision

Our Vision Plan is provided by VSP Vision Care as a Preferred Provider Organization (PPO) plan. With this traditional PPO plan, you can enjoy the highest level of benefits by receiving services from in-network vision providers. You will only be responsible for copayment at the time of your service. However, if you opt for an out-of-network doctor, you will need to pay for all expenses at the time of service and then submit a claim for reimbursement up to the allowed amount.

To find an in-network provider, print your ID card, view your benefits, or create an account, please visit: 

VSP Vision Care

VSP Summary of Benefits

VSP Member Services: 1-800-877-7195

Vision Premiums

Premiums by Coverage Level

Coverage Level	Employee Payroll Deduction
VSP Vision Plan	Monthly
Employee Only	$7.14
Employee and Spouse/Domestic Partner	$12.82
Employee and Child(ren)	$13.58
Employee and Family	$20.34

 

VSP Vision Pro Plan Highlights

Plan Highlights	In-Network	Out-of-Network Reimbursement
Exam – Once every plan year	$10	Up to $45
Lenses – Every 12 months	$25	See Below
Single	100% after copay	Up to $40
Bifocal	100% after copay	Up to $60
Trifocal	100% after copay	Up to $80
Frames – Every 12 months	$175 allowance + 20% off	Up to $50
Contacts – Every 12 months, in lieu of lenses & frames	n/a	n/a
Medically Necessary	100%	Up to $210
Cosmetic	$175 allowance	Up to $150