PRESCRIPTION GLASSES
(once every calendar year)
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$25 materials co-pay, which is a single payment that applies to the entire purchase, not the lenses and frame individually.
Lenses:
100% covered after co-pay:
- Single vision, lined bifocal, lined trifocal or lenticular lenses
- Polycarbonate lenses for dependent children
- Anti-scratch coating
- Solid tints
Patient options not covered by the plan, such as photochromic lenses, UV protection, anti-reflective coatings and progressive lenses, are discounted 20%.
Frames:
$130 retail frame allowance and 20% off any out-of-pocket costs.
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$25 materials co-pay
Lenses:
Reimbursement after
co-pay is applied:
- Single vision up to $45
- Lined Bifocal up to $65
- Lined Trifocal up to $85
- Lenticular up to $125
Frames:
Reimbursement up to $47 after co-pay is applied.
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CONTACT LENSES
(once every calendar year)
Contact lenses may be selected in lieu of prescription glasses. |
Elective:
When you choose contacts instead of glasses, your $120 contact lens allowance applies to the cost of your contacts and the contact lens exam (fitting and evaluation). This exam, which is discounted 15%, is in addition to your vision exam to ensure the proper fit of contacts. If you choose contact lenses, you will be eligible for prescription glasses in the next calendar year.
Current soft contact lens wearers may qualify for a special program that includes a contact lens evaluation and initial supply of replacement lenses.
Medically Necessary:
Medically Necessary contacts prescribed for certain conditions are 100% covered. VSP doctor must receive approval from VSP prior to dispensing.
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Reimbursement up to $105 for elective contact lenses and contact lens exam.
Reimbursement up to $210 for medically necessary contact lenses and contact lens exam.
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