Your Coverage from a VSP Doctor

 

 

WellVision Exam®.............$15.00 Copay.................................................every 12 months

 

Prescription Glasses........$25.00 Copay

 

 

Lenses................................................................................................every 12 months

·         Single vision, lined bifocal, and lined trifocal lenses

·         Polycarbonate lenses for dependent children

 

Frame..................................................................................................every 24 months

·         $130 allowance for frame of your choice

·         Plus 20% off any out-of-pocket costs

 

~OR~

 

Contact Lens Care - No Copay.................................................................every 12 months

 

$130 allowance for contacts and the contact lens exam. Current soft contact lens wearers may be eligible for a special program that includes an initial contact lens evaluation and initial supply of replacement lenses.

 

Extra Discounts and Savings

 

Glasses and Sunglasses

 

·         Average 20 - 25% savings on non-covered lens options

·         20% off additional prescription and non-prescription glasses and sunglasses, including lens options from any VSP doctor within 12 months of your last covered eye exam

  

Contacts* 

 

·         15% off cost of contact lens exam

 

Laser Vision Correction

 

·         Average 15% off the regular price or 5% off the promotional price. Discounts only available from contracted facilities.

 

 

Out of Network Benefits

 

If you see a non-VSP provider you will receive a lesser benefit. Before seeing a non-VSP provider, call us at 800.877.7195 for more details.

 

Out-of-Network Reimbursement Amounts:

 

·         Exam.....................................................................Up to $34

·         Single vision lenses.................................................Up to $17

·         Lined bifocal lenses.................................................Up to $30

·         Lined trifocal lenses.................................................Up to $43

·         Frame....................................................................Up to $38.25

·         Contacts................................................................Up to $100

 

 

VSP guarantees service from VSP doctors only. In the event of a conflict between this information and your organization's contract with VSP, the terms of the contract will prevail.

 

• Annual Examination: $15.00 Copay
• Materials: $25 Copay
• No deductibles
• No waiting periods
• No Copay for Contacts
• Your choice of network providers
• One pair of standard frames each 24 months
• One pair of single vision of standard lined multi-focal lenses (or) Contact lenses each 12 months
• Benefits provided In and Out of Network
• Discounts on Laser Vision Correction

One time Non Refundable Processing fee: $35.00

The stated rates above include a four dollar ($2) per month billing fee and one dollar ($1) per month fee for membership in the Benefits Association. Rates are guaranteed for a 12 month period, at which time rates may be subject to change. After your first renewal, the rates will be guaranteed for 12 months each year thereafter.

Methods of Payment

Visa Mastercard Bankdraft

• How do I know if my eye doctor is a VSP Provider?
  
  Easy, simply call your eye doctor to see if they are in fact a VSP Provider, call VSP’s customer service line at 800.877.7195, or visit our providers section and check it out for yourself.
   
• What are the advantages of visiting a VSP Provider?
  
  By visiting a VSP Provider you will be able to take full advantage of the benefits provided by this plan. Such as, the low co-payments for examinations and materials.
   
• Does this plan have out of network benefits?
  
  Yes, but you get the best value from your benefit when you see a VSP doctor. If you see a non-VSP provider, you'll typically pay more out-of-pocket. You'll pay the provider in full and have 6 months to submit a claim to VSP for partial reimbursement less co-pays. Before seeing a non-VSP provider, call us at 800.877.7195. You can see the out of network reimbursement amounts in the Plan Benefits section of the site.
   
• What are my payment options?
  
  Monthly bank draft or monthly credit card billing.
   
• When will my checking account / credit card be drafted?
  
  The draft will take place between the 1st and 5th of each month.
   
• When does my coverage begin?
  
  If your enrollment form is received by the 20th, your coverage begins the first of the following month.
   
• Who do I call for billing questions?
  
  Morgan White at 888.859.3795.
   
• Who do I call for claims questions?
  
  VSP at 800.877.7195. You can also check the status of claims and review your benefits at www.vsp.com, by logging into the members section of the site.