Supplemental Vision - Vision Service Plan

VSP logo

All benefit-eligible employees may elect to enroll in the Vision Service Plan (VSP) Vision Plan. This plan can supplement the Blue View Vision included with the Anthem medical plans or the Kaiser Vision Essentials with your Kaiser Permanente medical plan. Employees may enroll in VSP without participating in a PWCS medical plan.

For additional details on your plan or to register your VSP account, call 1-800-877-7195 or visit the VSP Website:

www.VSP.com

Participating Providers

Benefit Description Copay Frequency
Well Vision Exam Focuses on your eyes and overall wellness $20 Every Calendar Year
Prescription Glasses $20 See Frames and Lenses
Frames
  • $250 allowance for selected frames
  • $270 allowance for featured frame brands
  • 20% savings on the amount over allowance
  • $135 Costco or Walmart frame allowance
Included in prescription glasses Every other calendar year
Lenses
  • Single Vision, lined bifocal, and lined trifocal lenses
  • Polycarbonate lenses for dependent children
Included in prescription glasses Every calendar year
Lens Enhancements

Standard progressive lenses

Premium progressive lenses

Custom progressive lenses

Average savings of 34%-40% on other lens enhancements

$0

$80-$90

$120-$160

Every calendar year
Contacts (Instead of glasses)

$200 allowance for contacts and contact lens exam (fitting and evaluation)

15% savings on a contact lens exam (fitting and evaluation)

$0 Every calendar year
Diabetic EyeCare Plus Program Services related to diabetic eye disease, glaucoma and age-related macular degeneration (AMD), retinal screening for eligible members with diabetes. Limitations and coordination with medical coverage may apply. Ask your VSP doctor for details. $20 As needed
Extra Savings

Glasses and Sunglasses

  • Extra $20 to spend on featured frame brands. Go to vsp.com/special offers for details
  • 30% savings on additional glasses and sunglasses, including lens enhancements from the same VSP provider on the same day as your WellVision Exam. Or get 20% from any VSP provider within 12 months of your last WellVision Exam.

Retinal Screening

  • No more than a $39 copy on routine retinal screening as an enhancement to a WellVision Exam

Laser Vision Correction

  • Average 15% off the regular price of 5% off the promotional price; discounts only available from contracted facilities
  • After surgery, use your frame allowance (if eligible) for sunglasses from any VSP doctor

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