Vision_Benefit_Summary.pdf
PDF 1 MB Posted
- Solicitation number
- 017-202408-KA
- Issued by
- Orange County, San Francisco City, California
About this file
This is a Vision Benefit Summary document outlining vision care coverage provided by Vision Service Plan (VSP) for County of Orange employees. The document details comprehensive vision services including annual WellVision Exams with a $10 copay, prescription glasses and frames with allowances ranging from $95 to $195 depending on retailer, contact lenses with a $175 allowance, and additional services such as retinal screening, lens enhancements, and laser vision correction discounts. The plan covers dependent children with impact-resistant lenses at no additional cost and provides access to thousands of VSP network providers through preferred private practices, retail locations, and online retailers like Eyeconic. Members can create accounts on vsp.com to view in-network coverage, locate providers, and access Exclusive Member Extras offering over $3,000 in potential savings through featured brand discounts and promotional offers.
The plan became effective January 1, 2024, and operates under the VSP Choice provider network with out-of-network reimbursement options for exams up to $45, frames up to $70, and various lens types ranging from $30 to $65. Additional savings include 20% off supplementary glasses and sunglasses purchased within 12 months of the last exam, average 15% discounts on laser vision correction, and $20 in extra spending on featured frame brands. The document specifies that coverage details are subject to change and references the County of Orange's contract with VSP, indicating that contract terms supersede the benefit summary information if conflicts exist.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 2025_Vision_RFP_Census_Data.xlsx | XLSX spreadsheet | |
| County_of_Orange_Utilization_2024.pdf | ||
| Evidence_Certificate_of_Coverage_(1.1.24).doc | DOC document | |
| Vision_Benefit_Summary.pdf | ||
| 2025_Vision_RFP_Census_Data.xlsx | XLSX spreadsheet | |
| Evidence_Certificate_of_Coverage_(1.1.24).doc | DOC document | |
| County_of_Orange_Utilization_2024.pdf | ||
| Request_For_Proposal_for_Provision_of_Vision_Services.pdf | ||
| Request_For_Proposal_for_Provision_of_Vision_Services.pdf |
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Text version
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
File details come from the government source that posted it. Updated .