2025
Benefits Info

Vision Coverage

Keep your vision clear with regular eye exams.

Vision is administered through Vision Service Plan (VSP).

VSPโ€™s network has over 20,000 vision providers in the United States. The amount you pay for vision services depends upon whether you visit an in-network or out-of-network provider. Provider doctors can be found at www.vsp.com (VSP Choice Network) or call 800-877-7195.ย 

You can choose between two plans, the Core or Buy-Up Plan. The Buy-Up allows you to purchase frames every 12 months instead of 24 months. The frame allowance is increased from $120 to $150. You can also purchase a second pair of eyewear (frame & lenses), or you can receive additional contacts for a $10 copay.

Vision Benefits

Benefit In-Network Core In-Network Buy-Up Out-of-Network
Exam $10 Copay $10 Copay Up to a maximum reimbursement of $45
Hardware/Materials $25 Copay $25 Copay N/A
Frequency
Exam
Lenses
Frames

12 months
12 months
24 months

12 months
12 months
12 months


12 months
12 months
24 months Core/12 Months Buy-Up
Frames Covered 100% up to $120;
20% off balance over $120
($140 for featured brands)
Covered 100% up to $150;
20% off balance over $150
($170 for featured brands)
Max reimbursement
up to $70
Lenses
Single Vision Lenses

Bifocal Lenses

Trifocal Lenses
Covered in Full
after $25 copay
Covered in Full
after $25 copay

Up to a maximum reimbursement of $30
Up to a maximum reimbursement of $50
Up to a maximum reimbursement of $65
Elective Contact Lenses
in Lieu of Glasses
Covered up to
$120 allowance
Covered up to
$150 allowance
Max reimbursement
up to $105
Medically Necessary
Contact Lenses
100%
after $25 copay
100%
after $25 copay
Max reimbursement
up to $210
2nd Pair
(Lenses & Frame or Contacts)
N/A $10 Copay,
Covered up to $150 allowance
Frames: $70
Lenses: $30/$50/$65
Contacts: $105

Using Your VSP Benefit is easy.

  • Create an account at www.vsp.com. Once your plan is effective, review your benefit information.
  • Find an eye care provider whoโ€™s right for you. To find a VSP provider, visit www.vsp.com or call 1-800-877-7195
  • At your appointment, tell them you have VSP. There is no ID card necessary. If youโ€™d like a card as a reference, you can print one at www.vsp.com.

Thatโ€™s it! We will handle the rest โ€“ there are no claim forms to complete when you use a VSP provider.

Employee Contributions

Bi-Weekly Vision Contributions
Core Buy-Up
Employee $0.56 $7.13
Family $1.21 $15.35
VSP Vision Benefit Summary
VSP Reimbursement Form
VSP Evidence of Coverage