Vision_Benefit_Summary.pdf

Enroll in VSP® Vision Care to get access to savings and personalized vision care from a VSP network doctor for you and your family.

Value and savings you love.

Save on eyewear and eye care when you see a VSP network doctor. Plus, take advantage of Exclusive Member Extras which provide offers from VSP and leading industry brands totaling over $3,000 in savings.

Provider choices you want.

With thousands of choices, getting the most out of your benefits is easy at a VSP Premier EdgeTM location.

Shop online and connect your benefits.

Eyeconic® is the preferred VSP online retailer where you can shop in-network with your vision benefits.

See your savings in real time when you shop over 70 brands of contacts, eyeglasses, and sunglasses.

Quality vision care you need.

You’ll get great care from a VSP network doctor, including a WellVision Exam®. An annual eye exam not only helps you see well, but helps a doctor detect signs of eye conditions and health conditions, like diabetes and high blood pressure.

Using your benefit is easy!

Create an account on vsp.com to view your in-network coverage, find the VSP network doctor who’s right for you, and discover savings with Exclusive Member Extras. At your appointment, just tell them you have VSP.

More Ways to Save

Extra

$20 to spend on

Featured Brands† and more

See all brands and offers at vsp.com/offers.

Up to

40% Savings on lens enhancements‡

A Look at Your VSP Vision Coverage With VSP and County of Orange, your health comes first.

Enroll through your employer today.

Contact us: 800.877.7195 or vsp.com http://www.vsp.com https://www.vsp.com/offers http://www.vsp.com

Your VSP Vision Benefits Summary County of Orange and VSP provide you with an affordable vision plan.

FREQUENCYCOPAYDESCRIPTIONBENEFIT

Your Coverage with a VSP Provider

Every 12 months$10WELLVISION EXAM Focuses on your eyes and overall wellness $0Retinal screening

Available as needed

$0 per screening

ESSENTIAL MEDICAL

EYE CARE

Retinal screening for members with diabetes

$20 per examAdditional exams and services beyond routine care to treat immediate issues from pink eye to sudden changes in vision or to monitor ongoing conditions such as dry eye, diabetic eye disease, glaucoma, and more.

Coordination with your medical coverage may apply. Ask your VSP doctor for details.

$10PRESCRIPTION GLASSES

Every 12 months Included in Prescription

Glasses

FRAME+

$195 featured frame brands allowance $175 frame allowance 20% savings on the amount over your allowance $95 Costco® frame allowance $175 Walmart®/Sam's Club® frame allowance

Every 12 months Included in Prescription

Glasses

LENSES

Single vision, lined bifocal, and lined trifocal lenses Impact-resistant lenses for dependent children

Every 12 months

$0

LENS ENHANCEMENTS

Standard progressive lenses $95-$105Premium progressive lenses $150-$175Custom progressive lenses $41-$85Anti-glare coating

Average savings of 30% on other lens enhancements

Every 12 monthsUp to $60CONTACTS (INSTEAD

OF GLASSES)

$175 allowance for contacts; copay does not apply Contact lens exam (fitting and evaluation)

Every 12 months$10LIGHTCARETM+ $175 allowance for ready-made non-prescription sunglasses, or ready-made non-prescription blue light filtering glasses, instead of prescription glasses or contacts

Glasses and Sunglasses

EXTRA SAVINGS

Extra $20 to spend on featured frame brands. Go to vsp.com/offers for details.

20% savings on additional glasses and sunglasses, including lens enhancements, from any VSP provider within 12 months of your last WellVision Exam.

Routine Retinal Screening No copay on routine retinal screening as an enhancement to a WellVision Exam

Laser Vision Correction Average 15% off the regular price or 5% off the promotional price; discounts only available from contracted facilities

YOUR COVERAGE GOES FURTHER IN-NETWORK

With so many in-network choices, VSP makes it easy to get the most out of your benefits. You’ll have access to preferred private practice, retail, and online in-network choices. Log in to vsp.com to find an in-network provider. Your plan provides the following out-of-network reimbursements:

Exam ............................................................ up to $45 Frame ........................................................... up to $70 Single Vision Lenses .............................. up to $30

Lined Bifocal Lenses .............................. up to $50 Lined Trifocal Lenses ............................. up to $65

Progressive Lenses ................................. up to $50 Contacts .................................................... up to $105

PROVIDER NETWORK:

VSP Choice

EFFECTIVE DATE:

01/01/2024

†Only available to VSP members with applicable plan benefits. Frame brands and promotions are subject to change.

‡Savings based on doctor’s retail price and vary by plan and purchase selection; average savings determined after benefits are applied. Ask your VSP network doctor for more details.

+Coverage with a retail chain may be different or not apply.

VSP guarantees member satisfaction from VSP providers only. Coverage information is subject to change. In the event of a conflict between this information and your organization’s contract with VSP, the terms of the contract will prevail. Based on applicable laws, benefits may vary by location. In the state of Washington, VSP Vision Care, Inc., is the legal name of the corporation through which VSP does business. TruHearing is not available directly from VSP in the states of California and Washington.

To learn about your privacy rights and how your protected health information may be used, see the VSP Notice of Privacy Practices on vsp.com.

©2023 Vision Service Plan. All rights reserved.

VSP, Eyeconic, and WellVision Exam are registered trademarks, and VSP LightCare and VSP Premier Edge are trademarks of Vision Service Plan. Flexon and Dragon are registered trademarks of Marchon Eyewear, Inc. All other brands or marks are the property of their respective owners. 102898 VCCM Classification: Restricted https://www.vsp.com https://www.vsp.com