VSP Vision Coverage

Vision Benefits

VSP Choice Plan

Exams
 
Laser Vision
 
 
Standard Plastic Lenses
 
 
Progressive Lenses
 
 
 
Exams/Lenses
 
Frames
 
Contact Lenses
(In Lieu of Lenses)
 
 
 
 
Frames
 
 
UV Coating
 
 
 
 
Conventional
 
Disposables
 
Medically Necessary
 
 
 
Single
 
Employee & Spouse
 
Employee & Child(ren)
 
Family
 
$10 Copay
 
15%-20% off retail pricing or
5% off promo. pricing
 
Single/Bifocal/Trifocal
$25 copay
 
Custom $150-$175
 
 
 
Once every 12 months
 
Once every 24 months
 
Once every 12 months
 
 
 
 
 
$130 allowance, 20% off balance over $130
 
$16
 
 
 
 
$130 allowance
 
$130 allowance
 
100% after copay
 
 
 
$8.50
 
$13.50
 
$14.00
 
$21.50

Freguency

Freguency

Frames

Frames

Contact Lenses

Contact Lenses

Monthly Rates

Monthly Rates