Vision Service Plan Benefits for a Clearer Future

A professional female ophthalmologist examines an eye chart in a clinic setting, emphasizing eye health.
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Having a clear vision is essential for living life to the fullest, and that's where Vision Service Plan benefits come in. By investing in a VSP, you can enjoy comprehensive eye care and protection for your precious peepers.

Regular eye exams are crucial for maintaining healthy vision, and VSP plans often cover these exams, helping you catch any potential issues before they become major problems. This can save you money and stress in the long run.

With VSP, you can also get discounts on corrective eyewear, including glasses and contact lenses, making it more affordable to see the world clearly.

Coverage and Network

The VSP Vision Care plan offers comprehensive coverage for your visual needs. The VSP Basic Plan covers vision examinations, prescription glasses, contact lenses, and a selection of frames to choose from.

You can also opt for the VSP Plus Plan, which includes all the benefits of the Basic Plan, plus additional enhancements such as a $100 frame allowance or fully-covered premium or custom progressive lenses.

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If you're unable to find an in-network provider, don't worry! You can contact VSP Vision Care for assistance. They'll help you make arrangements to see an out-of-network provider.

Here are some key benefits of the VSP Basic and Plus Plans:

  • Vision examination and prescription glasses or contact lenses
  • Selection of frames to choose from, up to the plan allowance
  • Contact lenses in place of prescription glasses
  • Discounts and allowances on lenses and frames, contact lens exam and laser eye surgery
  • Type 2 diabetes follow-up services and contact lens exams (evaluation and fitting)

Coverage

The VSP Basic Plan offers a range of benefits to ensure your visual wellness. The plan covers vision examinations, including tests to detect potential eye-related medical problems.

You'll also get prescription corrective lenses when needed, as well as single vision, lined bifocal, or lined trifocal lenses in glass or plastic. Standard progressive lenses are also covered.

In addition to lenses, the plan includes a selection of frames to choose from, up to the plan allowance. You can even opt for contact lenses in place of prescription glasses.

Discounts and allowances are available on lenses and frames, contact lens exams, and laser eye surgery. Type 2 diabetes follow-up services and contact lens exams (evaluation and fitting) are also covered.

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Here's a breakdown of the benefits covered under the VSP Basic Plan:

  • Vision examination
  • Prescription corrective lenses
  • Single vision, lined bifocal, or lined trifocal lenses
  • Standard progressive lenses
  • Frame selection (up to plan allowance)
  • Contact lenses (in place of prescription glasses)
  • Discounts and allowances on lenses and frames
  • Contact lens exams and laser eye surgery
  • Type 2 diabetes follow-up services and contact lens exams (evaluation and fitting)

The VSP Plus Plan includes all the benefits of the Basic Plan, plus additional enhancements. These enhancements include an additional $100 frame allowance, an additional $100 contact lens allowance, fully-covered premium or custom progressive lenses, fully-covered anti-reflective coating, and fully-covered light reactive lenses.

Network Doctors

If you're looking for vision care services, you can get them from any licensed optometrist, ophthalmologist, or dispensing optician.

However, using a VSP network doctor can offer additional benefits and discounts.

You'll only pay a copayment to a VSP doctor for services, and VSP will pay the doctor directly according to their agreement.

VSP doctors offer a 20% discount on unlimited additional pairs of prescription or non-prescription glasses, including sunglasses and lens enhancements, from a VSP provider within 12 months of your last WellVision Exam.

You can also save 15% off the cost of a contact lens exam when you receive contact lens services from a VSP doctor.

Filing and Claims

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To submit a claim for reimbursement, you'll need to gather some information, including an itemized receipt listing your name, Social Security Number, phone number, and address, as well as the group number (#12180678).

You'll also need to provide the patient's name, date of birth, phone number, and address, along with their relationship to you.

Claims for reimbursement must be submitted within six months of the date of service, so make sure to keep a copy of the information for your records and send the originals to VSP.

To submit a claim online, log into your VSP account, click on "View Your Benefits" then "My Benefits", and follow the prompts.

If you prefer to submit a claim by mail, you can contact VSP Member Services at 800-877-7195 to request a VSP Member Reimbursement Form.

Claims submitted by mail must be received by VSP within 365 days of the date of service.

Here's a quick rundown of the steps to submit a claim by mail:

Paying for Care

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Paying for care can be a straightforward process. Participants are responsible for their share of the insurance premiums, which are paid via pre-tax payroll deductions.

You'll need to factor in copayments for examinations and eyewear. These costs are typically the participant's responsibility.

Premiums are paid via pre-tax payroll deductions, which can be a convenient and efficient way to manage your expenses.

The plan generally pays for prescription glasses, contact lenses, and laser eye surgery, up to the applicable allowance.

Filing Claims

Filing claims can be a hassle, but don't worry, I've got you covered. You must pay the entire bill at the time of service for out-of-network reimbursement.

To submit a claim, you'll need to send VSP an itemized receipt listing your name, Social Security Number, phone number, and address, as well as the group number (#12180678).

You'll also need to include the patient's name, date of birth, phone number, and address, along with their relationship to you (such as "self", "spouse", "child", etc.).

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If you submit a claim by mail, you'll need to request a VSP Member Reimbursement Form by contacting VSP Member Services at 800-877-7195.

To submit a claim online, log into your VSP account, click on "View Your Benefits" then "My Benefits", and scroll down to click "Submit an Out-Of-Network Claim."

You can also submit a claim by mail, but you'll need to complete the form and mail it to Vision Service Plan (VSP), Attention: Claims Services.

Claims for reimbursement must be submitted within six months of the date of service if you're submitting online, or within 365 days if you're submitting by mail.

Here are the steps to submit a claim online:

  • Log into your VSP account
  • Click on "View Your Benefits" then "My Benefits"
  • Scroll down and click "Submit an Out-Of-Network Claim"
  • Complete the fields and follow the prompts
  • Upload your receipts
  • Click Submit

Service Plan Details

With the Vision Service Plan (VSP), you can choose to see any doctor of your choice, but benefits are maximized when received through a VSP participating doctor.

You'll find 30,000 participating doctors nationwide, located in retail, neighborhood, medical, and professional settings. The plan year begins on July 1, and you can get an eye exam once every plan year.

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Here's a breakdown of the services and benefits with a VSP doctor and out of network reimbursement:

Comparing Plans

Choosing the right service plan is crucial for meeting your needs and getting the best value for your money. You'll find a detailed comparison of our service plans in the article, highlighting key features, benefits, and costs to help you make an informed decision.

Our service plans vary in terms of coverage, with some plans offering more comprehensive benefits than others. The costs of our plans also differ, so it's essential to consider your budget and needs when selecting a plan.

Some service plans offer additional features, such as 24/7 customer support and priority scheduling, which can be a game-changer for busy individuals. These features can be a worthwhile investment if you value convenience and flexibility.

The costs of our service plans range from $X to $Y per month, depending on the level of coverage and features you choose. It's essential to review the costs and benefits of each plan carefully to determine which one is right for you.

By comparing our service plans, you can ensure you get the best value for your money and meet your specific needs.

Service Plan

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The Service Plan is a vital part of your vision benefits. You can choose to see any doctor of your choice, but benefits are maximized when received through a VSP participating doctor.

VSP has a network of over 30,000 participating doctors nationwide, located in retail, neighborhood, medical, and professional settings.

With the VSP service plan, you can receive a well-visited exam, which is covered in full after a copay, or reimbursed up to $45 if seen out of network.

Here's a breakdown of the benefits you can receive with a VSP doctor:

The Basic Vision Plan offers a more limited set of benefits, but still includes a routine vision and eye health evaluation each year for a $10 copay at an in-network VSP Vision Care provider.

Hardware Plan

The Vision Hardware Plan is an optional benefit that provides extra coverage for vision and eye health evaluations, as well as hardware costs. It's available to employees, legislators, retirees, COBRA members, and eligible dependents who are enrolled in medical coverage.

A woman receives an eye exam from an optometrist in a clinic setting.
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The plan allows you to enroll each year for an extra cost, and it will apply to everyone covered on your Medical Plan. You can choose to enroll in the plan, which will provide benefits for vision hardware.

Here are the details of the Vision Hardware Plan's coverage:

Maximums for the plan will be based on a Plan year, which is January 1 through December 31.

More Benefits, Greater Savings

As a VSP member, you can enjoy a fully covered eye exam after a copay, which is a great benefit. This can help protect your health by spotting early signs of diabetes, high blood pressure, high cholesterol, and heart disease.

You'll also get access to exclusive offers like an extra $40 to spend on select frame brands. Or, choose the EasyOptions plan and select a $230 frame allowance.

All members can take advantage of the 20% savings on a second pair of glasses, including lens enhancements, when you purchase from your VSP network doctor within 12 months of your last exam.

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VSP members save more on their dependents when they buy coverage together. Plus, get savings and special offers on contact lenses, LASIK, and more. Over $3,000 in total savings and the confidence of knowing that your good health is always within our sights.

Here are some of the additional member savings and discounts you can enjoy with VSP:

Your membership will also give you access to exclusive discount programs* on everyday goods and services, including those for $1.50/mo.

Pediatric and Special Plans

Pediatric vision benefits are now covered at 100% when using a participating provider for dependents under age 19.

You can get one eye exam, one pair of spectacle lenses or contact lenses, and one frame per benefit period. The selection of frames may be limited by the provider.

Costco and Sam's Club are not in-network providers for dependents under age 19, so you'll only be eligible for the out-of-network reimbursement amount if you use one of those providers.

For more information, review the PEDIATRIC VISION CARE BENEFIT provisions in each of the medical plan contracts posted on the OGI Medical webpage.

Retail providers listed under the adult plan may not be in-network providers for the pediatric plan, so be sure to check the plan contracts carefully.

Resources

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If you're looking for more information on vision service plans, here are some valuable resources to consider.

The National Eye Institute provides comprehensive information on eye health and vision care, including resources on vision service plans.

Many employers offer vision service plans as a benefit to their employees, often with a range of providers and coverage options to choose from.

The American Academy of Ophthalmology offers a wealth of information on eye care and vision health, including articles and guides on vision service plans.

Some vision service plans offer discounts on eyeglasses, contact lenses, and other vision-related expenses, which can be a significant cost savings for those who need regular vision correction.

The U.S. Department of Labor provides information on employee benefits, including vision service plans, and how they can be offered and administered by employers.

Frequently Asked Questions

What are VSP benefits?

VSP benefits include comprehensive vision coverage for eye exams, glasses, and savings on lens upgrades. You can also choose from various covered upgrades during an in-network doctor's visit with VSP EasyOptions.

Timothy Gutkowski-Stoltenberg

Senior Writer

Timothy Gutkowski-Stoltenberg is a seasoned writer with a passion for crafting engaging content. With a keen eye for detail and a knack for storytelling, he has established himself as a versatile and reliable voice in the industry. His writing portfolio showcases a breadth of expertise, with a particular focus on the freight market trends.

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