Vision
With the Vision Service Plan (VSP), you save money on eye exams, eyeglasses, lenses, contact lenses, and more, with annual exams and corrective treatment to help keep your vision strong and your eyes healthy.
If you choose not to enroll in this coverage, consider setting aside money in the Healthcare Flexible Spending Account (FSA) or Health Savings Account (HSA)—if enrolled—for vision expenses during the year.
Most providers accept VSP, but check the VSP website to confirm coverage or find an in-network doctor. VSP doesn't issue ID cards, so your provider verifies your coverage using your Social Security Number (SSN).
Your VSP group number is 12227971.
-
Plan Options
Your vision plan options are:
Low Plan — designed for participants who expect to need only basic services
High Plan — designed for participants who expect to need more comprehensive services
Key features at a glance:
Flexible designs: Choose from a range of frames and lenses that fit your style and needs.
Affordable coverage: Keep vision care costs predictable and manageable.
Wide provider network: Access negotiated rates through a large network of providers to save money.
In-network savings: Pay less on eyewear and eye care when you see a VSP network doctor.
Simple claims: VSP providers handle the paperwork, so you skip claim forms and reimbursement waits you'd face out-of-network.
-
Coverage Details
This is a snapshot of your vision coverage. For full details, see the Vision Summary Plan Description.
Each calendar year, the plan covers one eye exam and one pair of eyeglasses or contact lenses for you and each covered dependent, after your copay. Confirm your copay before your appointment.
In-network:
Low Plan
High Plan
Annual deductible
None
None
Eye exam (once every calendar year)
100% covered after $15 copay
100% covered after $10 copay
Frames (one per calendar year)
$120 allowance after $25 copay; or $70 allowance at Walmart, Sam's Club, and Costco Optical
$120 allowance after $10 copay; or $110 allowance at Walmart, Sam's Club, and Costco Optical
Lenses (single, bifocal lined or trifocal lined; one per calendar year)
100% covered after $25 copay
100% covered after $10 copay
Lens options — UV coating
100% covered
100% covered
Lens options — Tint (solid and gradient) / Light-reactive lenses
100% covered
100% covered
Lens options — Scratch resistant
100% covered
100% covered
Lens options — Polycarbonate
100% covered
100% covered
Lens options — Anti-reflective coating
100% covered
100% covered
Lens options — Standard Progressive lenses
100% covered
100% covered
Contact lenses — Medically necessary (one per calendar year)
100% covered after $25 copay
100% covered after $10 copay
Contact lenses — Elective lenses and contact lens exam (fitting and evaluation)
$125 allowance
$200 allowance
Other services — in-network discounts available
Diabetic EyeCare Plus Program
$20 copay for additional exams and services. Retinal screening covered in full for members with diabetes.
$20 copay for additional exams and services. Retinal screening covered in full for members with diabetes.
Out-of-network (copays apply to out-of-network billed amounts):
Low Plan
High Plan
Annual deductible
None
None
Eye exam
$50 allowance
$50 allowance
Frames
$70 allowance
$70 allowance
Lenses — Single
$50 allowance
$50 allowance
Lenses — Bifocal lined / Progressives
$75 allowance
$75 allowance
Lenses — Trifocal lined
$100 allowance
$100 allowance
Lenses — Lenticular
$125 allowance
$125 allowance
Lens options — Tint (solid and gradient)
$5 allowance
$5 allowance
Lens options — UV coating
Not covered
Not covered
Lens options — Scratch resistant
Not covered
Not covered
Lens options — Basic polycarbonate
Not covered
Not covered
Lens options — Standard anti-reflective
Not covered
Not covered
Contact lenses — Medically necessary
$210 allowance
$210 allowance
Contact lenses — Elective
$125 allowance
$125 allowance
-
Services Not Covered
Benefits are paid for most vision services and appliances, but some limits and exclusions apply. Here's an overview of services not covered:
Eye exams as a condition of employment, medical, or surgical treatment (may be covered under Medical Plan)
Non-prescription lenses
Prescription goggles
Safety eyewear
Replacement and repair of lost or broken lenses
Vision training
Services covered by Workers' Compensation
Two pairs of glasses instead of bifocals
Review the VSP Summary Plan Description in the Documents for more details.
-
Using Your Vision Plan
Here's how to make the most of your vision benefits.
Use VSP providers: You pay less when you see a VSP network doctor for an exam or eyewear, and VSP doctors handle your paperwork, so you skip filing claims. If you use an out-of-network provider, you'll get an allowance toward your expenses. Pay for services upfront, then submit a claim for reimbursement.
File claims promptly: If you use an out-of-network provider, file your claim within six months of the date of service.
Use VSP discounts: Visit VSP for a list of available discounts.
-
Eyeconic — VSP's Online Eyewear Store
Prefer to shop online? Use your vision benefits on eyeconic.com®—the VSP preferred online retailer. With the widest selection of quality eyewear, you're sure to find the eyewear you love at a price that's right for you.
Choose from the most popular brands of designer eyewear and contact lenses, at competitive prices.
Get a 20% discount on prescription and non-prescription eyewear purchased through the online store (all VSP members qualify).
Enjoy the highest savings available when you use your in-network VSP insurance for prescription glasses or contact lenses.
Eyeconic — VSP Online Eyewear Store
-
Diabetic Eyecare Plus Program
If you have diabetic eye disease, glaucoma, or age-related macular degeneration (AMD), you can get routine care and follow-up medical eye services at your VSP doctor for a $20 copay. If you have diabetes but show no signs of diabetic eye disease, you can get preventive retinal screenings at no cost.
To get started, find a VSP doctor:
Call 1-800-877-7195 or visit VSP.
No VSP ID card needed — just tell your doctor's office you have VSP coverage.
Member and website support:
To find in-network providers in your area, call toll-free 1-800-877-7195 or visit VSP.
Your VSP group number is 12227971.
Contacts
VSP
Group Number: 12227971
Eyeconic:
1-855-EYECONIC (1-855-393-2664)
Group Number: 12227971