Voluntary Vision

Voluntary VSP Vision Plan

The VSP vision plan covers you and your covered dependents for a routine eye exam, eyeglasses, or contact lenses. Additional discounts and savings may be available for sunglasses, lens options, and laser vision correction. You can choose any provider; however, you will spend less money when you visit an in-network provider. To find a provider near you, visit vsp.com.

Plan Features	Vision Service Plan (VSP)
	In-Network	Out-of-Network
	You pay:	Plan reimburses you:
Exam (every 12 months)	$10 copay	Up to $45
Frames (every 12 months)	$200 allowance for wide selection of frames; $250 allowance for featured frames; 20% savings on amounts over allowance; $110 Costco frame allowance	Up to $70
Lenses (every 12 months) Single Vision Bifocal Trifocal	Covered in full Covered in full Covered in full	Up to $30 Up to $50 Up to $65
Contact Lenses (every 12 months)	Up to $60 copay, $160 allowance	Up to $105

See the Benefit Guide or benefits summary for detailed information on the Voluntary Vision plan.

Vision Coverage Video