ABC Company offers coverage through Vision Service Plan (VSP), which gives you access to quality vision care and helps you save money on eye exams, eye glasses, and contact lenses.

You may visit any eye doctor you choose, but you may save money on services and materials by using a VSP network provider. If you choose to use an out-of-network provider, you will pay the full cost for services and submit your receipts for reimbursement. Visit or call 1-800-877-7195 to find a network provider.

You do not need a personalized ID card for vision coverage. Your vision provider can confirm your coverage by calling 1-800-877-7195 if you provide your Social Security number and date of birth.

See the chart below for plan specifics:

Plan Feature In-Network Out-of-Network
Exam (once every calendar year) Covered in full after $10 copay $10 copay, then up to $50 reimbursement
Eyeglass Lenses (once every calendar year) Covered after $20 copay $20 copay, then up to $100 reimbursement, depending on lens type
Frames (once every calendar year) Up to $170 allowance Up to $70 reimbursement
Contact Lenses (instead of glasses, once every calendar year) Up to $150 allowance Up to $105 reimbursement
Laser Vision Correction Discount Average 15% discount at contracted facilities None
Discounts on Non-Covered Lens Options Average 30% discount None

Vision Cost for Coverage

The below table displays the monthly cost for coverage for you and your family.

Vision Plan Employee Only Employee + Spouse Employee + Child(ren) Employee + Family
PPO $8 $13 $15 $21