Standard and Enhanced Vision Plans

The Standard and Enhanced Vision Plans are offered through VSP. Both plans provide discounts on exams, eyeglasses or contacts, and other vision services.

Your benefits are highest when you visit a VSP provider. If you see a non-VSP provider, you’ll have to file your own claim forms and you’ll likely pay more out of pocket. The benefits shown in the table apply to in-network services and providers.

VSP
Website: vsp.com
Telephone number: 800-877-7195

Plan Benefit Premiums
Partner benefit rates for the 2022 plan year will be available on the benefits enrollment portal.

Benefit Feature

VSP Standard Vision Using VSP Provider

VSP Enhanced Vision Using VSP Provider

Eye Exam (Once each plan year)

Covered in full with $10 copay

Covered in full with $10 copay

Frames

Once every other plan year

Covered up to a $130 retail allowance; plus 20% off any out-of-pocket costs

Once every plan year
Covered up to a $175 retail allowance; plus 20% off any out-of-pocket costs

Lenses (Once each plan year)
Single vision, lined bifocal, lined trifocal

Covered in full with $25 copay

Covered in full with $10 copay

Lens Options
Scratch resistant coating, ultraviolet coating, tint, standard polycarbonate, anti-reflective coating, other add-ons and services

20% to 25% off retail cost

20% to 25% off retail cost

Contact Lenses (Once each plan year in lieu of frames and lenses)
Contact lens exam (fitting and evaluation)
Contact lenses




Covered in full with copay not to exceed $60
Covered up to $130 allowance



Covered in full with copay not to exceed $60
Covered up to $175 allowance