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Vision

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Vision Service Plan (VSP)
No card is issued. Just give your SS# at the doctor’s office.

 Benefit

Frequency

Co-Payment 

 VSP Doctor

 Non_VSP Doctor

 Exam

 12 months

 $15 (applied to exam, lenses, & frame) Covered in fullUp to $35 allowance 
 Lenses

 12 months

  Single, linded bifocal, and lined trifocal covered in full *Single-up to $25, lined bifocal-up to $40; lined trifocal-up to $55 
 Frame

 24 months

  Covered in full up to $150 allowance **Up to $45 allowance 

 ~OR~

 Contact Lenses

12 months 

  Covered up to $150 allowance (including exam)Up to $150 allowance 

 * Lens options are available to you at VSP's preferred pricing.

** If you choose a frame valued more than your allowance, you'll save 20% on your out-of-pocket costs for frames.