Vision eyewear coverage

​Vision eyewear coverage, administered by VSP, provides an annual allowance for eyeglasses and contacts, as well as discounts on extra glasses, sunglasses, lens enhancements, and more when using network providers. It is an optional benefit with no hourly work requirements for participation.

vision eyewear coverage

Vision eyewear coverage is a stand-alone, optional benefit that provides an annual allowance toward eligible vision services and materials, such as glasses and contact lenses, in addition to a discount for covered materials over and above the allowance.

This benefit is administered by VSP, which has the largest network of independent vision care providers. The network is also supported by large retail chains, including Walmart, Costco, and Pearl Vision. In total, there are over 29,000 VSP provider offices, including 95,000 clinicians.

Vision eyewear coverage is separate from and does not include the routine eye exam benefit that is covered in all three Medical Plan options — PPO, EPO, and HDHP.* If vision eyewear coverage is offered without medical coverage, no eye exam benefit is available.

*Individuals enrolled in the HDHP will be automatically enrolled in the VSP vision exam benefit. The vision exam benefit is not considered part of the HDHP.

Eligibility

An employer may choose to offer vision eyewear coverage to any employee, regardless of the number of regularly scheduled work hours. Ministers enrolled in Pastor's Participation must be offered vision eyewear coverage.

Spouses and children (up to age 26) of eligible employees who elect vision eyewear coverage also may be eligible.

Cost

Employees may purchase coverage in four tiers: Member-only, Member + Spouse, Member + Child(ren), and Member + Family. Employers may, but are not required to, contribute toward the cost of vision eyewear coverage.

Vision eyewear coverage monthly cost ​ ​ ​
Member-onlyMember + SpouseMember + Child(ren)Member + Family
$3.89$7.69$8.17$13.12

 

Covered services

Employees enrolled in vision eyewear coverage may use network providers, or out-of-network providers and receive reimbursement for covered services up to a set maximum amount.

The following are covered services/materials and the required copay, if applicable, when using a VSP Choice Network provider.

Services/materials from a VSP Choice Network provider
Annual benefit Copay
Annual eyeglass frames and lenses ($150 frame allowance)$25

Lenses, including scratch coating and standard progressives

Other lens treatments (Varilux), anti-reflective coatings (Crizal), transitions and tints are discounted an average of 20% to 25%

$0

OR

Contact lens exam and fitting

$25
Contact lenses ($175 allowance)$0

Extra $50 to spend on featured frame brands* for glasses and sunglasses, such as bebe, Calvin Klein, Cole Haan, Flexon, Lascoste, Nike, Nine West, and more. Visit vsp.com to find a Premier Program location that carries these brands, and vsp.com/specialoffers for current promotions.

20% savings on additional glasses and sunglasses, including lens enhancements, from any VSP provider within 12 months of your last well vision exam.

*Brands/promotions subject to change.

N/A

 

The following are covered services/materials and the amount of reimbursement when using an out-of-network provider.

Services/materials from an out-of-network provider
Description Reimbursement
FramesUp to $70
Single vision lensesUp to $30
Lined bifocal lensesUp to $50
Lined trifocal lensesUp to $65
Progressive lensesUp to $50
ContactsUp to $105