If you are enrolled in one of the three medical coverage options (PPO, EPO, or HDHP), you and your covered family members will automatically be enrolled in the VSP vision exam benefit. You also have this benefit when enrolled in medical continuation coverage.
The vision exam benefit covers annual routine eye exams and screenings related to certain health conditions. Your benefits will go further when you use network providers.
When you use an optometrist or ophthalmologist who participates in the VSP Choice network, you pay a set copay (with no deductible) for covered services. Your benefit covers the rest of the cost.
To find participating VSP providers, search the VSP website or call VSP at 800-877-7195.
You also will receive discounts on vision-related items and services when you purchase them through a VSP Choice network provider:
In addition to hundreds of regional retail chains in the VSP network, you have the option of purchasing frames from national VSP partners such as Costco Optical, Visionworks, Rx Optical, and Shopko. No discounts apply when purchasing frames from a VSP partner.
You don’t need an ID card to use this benefit. Simply tell your VSP Choice network provider you have coverage through VSP and provide the last four digits of your Social Security number and group number 30022595.
If you’d like an ID card, you can download and print one by logging on to the VSP website.
If you choose to go to an out-of-network provider — an eye doctor that does not accept payment from VSP — you pay the full cost of your routine annual eye exam up front. Submit your out-of-network claim to VSP, and you'll be reimbursed up to $45 after your $25 copay is deducted.
To file claims, log on to the VSP website and click Benefits; then click Submit a claim and follow the instructions. You can submit claims online or by mail.