Life Is Better in Focus.: Consumers'
Life Is Better in Focus.: Consumers'
Life Is Better in Focus.: Consumers'
That’s it! We’ll handle the rest—there are no claim forms to complete.
We guarantee your satisfaction. If you’re not 100% happy with the eye care and eyewear you
receive from a VSP network doctor, we’ll make it right.
Your VSP Vision Benefits Summary
VSP Individual Plan: EasyOptions Plan
Benefit Description Copay Frequency
Your Coverage with a VSP Doctor3
WellVision Exam® • Focuses on your eyes and overall wellness $15 Every 12 months
Get the most out of your benefits and greater savings with a VSP network doctor. If you visit an out-of-network provider, you’ll have higher
out-of-pocket expenses.
Exam...................................................................up to $45 Lined Bifocal Lenses............................up to $50 Progressive Lenses�����������������������������������������������up to $50
Frame.................................................................up to $70 Lined Trifocal Lenses...........................up to $65 Contacts��������������������������������������������������������������������� up to $105
Single Vision Lenses................................up to $30
Note: If you choose to see an out-of-network provider, you’ll receive less coverage. Payment is expected at the time of your visit. Following your appointment, you’ll
need to complete a claim form and include any itemized receipts. You can complete and submit the form on vsp.com or call 800.877.7195 to request a hard copy
form. Address to Vision Service Plan, Attention: Claim Services, P.O. Box 385018, Birmingham, AL 35238-5018. Out-of-network coverage is not available in the states
of Massachusetts and Washington, and coverage varies in the state of Maryland.