The VSP vision plans offer coverage for you and your covered dependents for a routine eye exam, frames, and lenses or contact lenses. Additional discounts and savings may be available for sunglasses, lens options, and laser vision correction. You can choose to visit any provider; however, you will save money when you visit an in-network provider. Find an in-network provider at vsp.com.
| Plan Features | VSP Signature | |
|---|---|---|
| In-Network | Out-of-Network* | |
| You pay: | ||
| Exam every calendar year | $10 copay | Up to $50 |
| Frames every other calendar year |
|
Up to $70 |
| Lenses every calendar year Single Vision Bifocal Trifocal Lenticular |
$25 copay | Up to $50 Up to $75 Up to $100 Up to $125 |
| Contact Lenses every calendar year (in lieu of lenses and frames) |
Amount over $200 allowance | Up to $105 |
Below is your cost for vision coverage. Your payroll deductions are pre-tax.
| Plan Type | Employee Only | Employee + Spouse/Domestic Partner* | Employee + Child(ren) | Employee + Family |
|---|---|---|---|---|
| VSP Signature | $4.77 | $6.90 | $8.17 | $13.05 |
*Domestic partnership must be deducted on a post-tax basis. Imputed income may also apply.