Vision Insurance FAQ: Frame, Lens & Contact Lens Benefits
What is a copay? When you visit an eye doctor, your vision copay is a fixed amount you pay for services. So when you get an eye exam, you pay a copay and your plan covers the rest. Your vision plan identifies what your copay is for vision services. VSP's Standard Option plan comes with a $120 or $160 frame allowance. Get a $120 frame allowance toward the purchase of any frame brand, or get a $160 frame allowance on a featured frame brand. Click here to see a list of featured frame brands. Comparison based on national averages for comprehensive eye exams and most commonly purchased brands.
It goes without saying that vision insurance gives you real savings compared to being uninsured — so much so that you can see the difference. If you’re new to VSP’s vision insurance plans or are looking into becoming insured, you may have specific questions regarding frame, lens and contact benefits. We’ve made a list of frequently asked questions that will help you discover the benefits of a VSP vision insurance plan:
What is a copay? When you visit an eye doctor, your vision copay is a fixed amount you pay for services. So when you get an eye exam, you pay a copay and your plan covers the rest. Your vision plan identifies what your copay is for vision services.
How does a frame allowance work?
VSP Individual Vision Plans allow you to get new frames and lenses every 12 months. This means you can redefine your look and style every year. No matter what your style is, here’s how it breaks down in terms of price:
- There’s a $25 copay for prescription glasses
- Single vision, lined bifocal and lined trifocal lenses are all covered by your VSP coverage and your copay
- For specific additional lens enhancements, here’s a look at your out-of-pocket copays:
- Progressive lenses (standard, premium, custom): $0-175
- Anti-glare (anti-reflective coating): $41 – $85
Guitar pro 7.5.1 license key. - Light-to-dark lens tinting (photochromic adaptive lenses): $70 – $82
Vsp Copay For Eye Examination
- Impact-resistant (polycarbonate) lenses: $31 – $35
- Scratch-resistant coating: $17 – $33
- Tinted (colored) lenses: $15 – $17 Univers 47 condensed font.
- UV protection: $16
What kind of frames can I select with my vision insurance benefits?
You can buy any frames that catch your eye. For frames, you get a $150 allowance, plus 20% savings on any amount over that allowance. This means you can select any frames within that price range, or you can buy more expensive frames and the $150 will go toward that cost.
You also get an extra $20 to spend, on top of your frame allowance, when you purchase from the featured frame brands.* Before you purchase, be sure to ask your VSP network doctor about qualifying frame brands. If you need more than one frame, with VSP vision insurance you save an additional 20% on additional glasses and sunglasses from any VSP doctor within 12 months of your eye exam.
What is a contact lens fitting exam?
This type of exam is different from a regular eye exam and is especially meant for contact lens wearers. During this eye exam, your VSP network doctor will ensure that the lenses are fitting both eyes properly and that the contact lenses are not harming your eyes in any way.
How can I use my elective contact lens allowance?
Instead of buying frames, you can purchase new contact lenses every 12 months. However, the difference is you don’t have a copay if you opt for contact lenses instead of glasses. You still get a $150 allowance, which you can use to purchase contacts and the contact lens exam (see question above). Once you have your contact lens fitting exam, your VSP network doctor will let you know what types of contact options are available to you.
What are non-elective (medically necessary) contact lenses?
There are certain eye conditions that can only be corrected by contact lenses. Non-elective contact lenses, also called medically necessary contact lenses, are prescribed by your optometrist to correct these types of eye problems, whereas elective contacts are chosen by the patient to correct an eye condition that eyeglasses or sometimes laser surgery can also correct. Your eye doctor will let you know if you need non-elective contact lenses. These types of contacts are not covered by a VSP Individual Vision Plan.
*Brand and promotions are subject to change.
Here’s how to make the most of your vision benefits:
- Use VSP providers. When you use a VSP network doctor for an eye exam or to purchase eyeglasses, you pay less than if you go outside the network. In addition, VSP doctors take care of all of your paperwork; there are no claims to file. If you don’t use a VSP doctor, you’ll receive an allowance toward your incurred expenses. You’ll pay for expenses when you receive them, then submit a claim for plan reimbursement.
- File all claims promptly. If you use an out-of-network provider, you must file your claim within six months of the date of service.
- Use VSP discounts. Visit VSP for a list of available discounts.
Eyeconic — the VSP online eyewear store
Eyeconic is an online store where plan participants can purchase prescription and non-prescription eyewear. Shop online at Eyeconic and choose from the most popular brands of designer eyewear and contact lenses, at competitive prices. All VSP members receive a 20% discount on prescription and non-prescription eyewear purchased through the online store.
What’s more, as a VSP member, you’ll enjoy the highest savings available when you use your in-network VSP insurance for prescription glasses or contact lenses.
Eye Exams That Take Vsp Insurance
Diabetic EyeCare Plus program
If you have diabetic eye disease, glaucoma, or age-related macular degeneration (AMD), you can receive routine care and follow-up medical eye services at your VSP doctor for a $20 copay. If you have diabetes but do not show signs of diabetic eye disease, you can also receive preventive retinal screenings at no cost to you.
To get started, find a VSP doctor by calling 1-800-877-7195 or visiting VSP. No VSP ID card is needed — simply inform your doctor’s office that you have VSP coverage.
How Much Does Vsp Pay For Eye Exam
Member Support
Vsp Copay For Eye Exam
For a listing of providers in your area who participate in the VSP network, call toll-free 1-800-877-7195 or visit the VSP website. Your VSP group number is 12227971.