VSP Exam Plus with Allowances PlanSM

  • Exam covered in full (after copayment)
    VSP's negotiated fee schedule applies
  • Allowance established for materials
    20 percent discount on materials

For example, covered exam plus $200 toward materials


Description Plan features
Number of doctors 27,000 doctors
41,000 access points* through the VSP provider network
Customizable copayments Yes
WellVision Exam® (eye exam) Covered in full
Lens/frame frequency options Yes
Basic lenses (glass or plastic)
  • Single vision
  • Lined bifocal
  • Lined trifocal
20% off U&C** plus client-specific allowance
Cost-controlled lens options 20% off U&C**
Contact lenses Replacement contact lens wearers may be eligible for a covered-in-full 1 initial contact lens fitting and evaluation and initial supply of approved lenses; 15% off contact lens services; $130 allowance instead of glasses
Frames 20% off U&C**
Option to add materials coverage Yes
Value-added benefits
Discounts on additional pairs of prescription and nonprescription glasses, including sunglasses
20% off 2 U&C**
Diabetes exam reminder
Members with diabetes sent reminder 14 months after last eye exam
Yes
Laser VisionCareSM program
Discounts on LASIK, custom LASIK3 and PRK, plus patient education
Average of 15 to 20% off, or 5% off promotional offer

* Access points are locations where vision services are available. Example: One eye doctor practicing in two locations would be two access points.

** Usual, customary and reasonable charge. The average amount a provider charges a person with no insurance.

1 If a member selects a lens from a tier that is above their allowance they pay the difference. If a member selects lens from a tier that is below their allowance they apply the remaining balance toward additional contact lenses. Some members may require additional follow-up services when being fitted for contact lenses.

2 Discount applies to glasses purchased the same day as the member's eye exam from the same VSP doctor who provided the exam. Members will also receive 20 percent off unlimited additional pairs of glasses valid through any VSP doctor within 12 months of the last covered eye exam.

3 Using wavefront technology with the microkeratome surgical device only. Other LASIK procedures may be performed at an additional cost to the member. Laser VisionCare discounts are only available from VSP-contracted facilities.


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