Vision Plan
Healthy eyes and clear vision are an important part of your overall health and quality of life. You may enroll yourself and your eligible dependents or you may waive vision coverage.
You do not have to be enrolled in medical coverage to elect vision coverage or cover the same dependents under medical and vision.
You may elect vision care coverage, which provides affordable, quality vision care nationwide. Although vision care services and supplies are covered in-network and out-of-network, your benefits are generally greater when you use in-network providers. Your costs are based on the family members you choose to cover.
Find a Network Provider
You’ll generally pay less when you use a provider in your carrier’s network.
- Visit Sample Provider website to locate in-network providers.
Plan Comparison
The table below summarizes the key features of the vision plan. Please refer to the official plan documents for additional information on coverage and exclusions.
| Plan Details | In-Network | Out-of-Network |
| WellVision Eye Exam (every 12 months) |
$10 copay | Reimbursed up to $45 |
| Prescription Glasses | $25 materials copay for frame and lenses combined (lens enhancements have separate copays) | See frames, lenses, and lens enhancements |
| Frames (every 12 months) |
$120 allowance for a wide selection of frames $140 allowance for featured frame brands 20% savings on the amount over your allowance $65 Costco® frame allowance |
Reimbursed up to $70 |
| Lenses (every 12 months) |
Single vision, lined bifocal, and lined trifocal lenses Polycarbonate lenses for dependent children Photochromic/tints/dyes for dependent children covered in full |
Single vision: Reimbursed up to $30 Lined bifocal: Reimbursed up to $50 Lined trifocal: Reimbursed up to $65 |
| Lens Enhancements (every 12 months) |
Standard progressive: $0 copay Premium progressive: $95 – $105 copay Custom progressive: $150 – $175 copay Average savings of 20% – 25% on other lens enhancements |
Progressive: Reimbursed up to $50 |
| Contact Lenses (instead of glasses) (every 12 months) |
Contact lens exam (fitting and evaluation): up to $60 copay $120 allowance for contacts; copay does not apply |
Reimbursed up to $105 |
| Diabetic Eyecare Plus Program | $20 copay for services related to diabetic eye disease, glaucoma, and age-related macular degeneration (AMD); retinal screening for eligible members with diabetes. Limitations and coordination with medical coverage may apply. Ask your VSP doctor for details. | N/A |
| Extra Savings | ||
| Glasses and Sunglasses | Extra $20 to spend on featured frame brands (see vsp.com/specialoffers for details) 20% savings on additional glasses and sunglasses, including lens enhancements from any VSP provider within 12 months of your WellVision exam |
N/A |
| Retinal Screening | No more than a $39 copay on routine retinal screening as an enhancement to a WellVision exam | N/A |
| Laser Vision Correction | Average 15% off regular price or 5% off promotional price; discounts only available from contracted facilities | N/A |