Name: Standard Plan
Brand: VSP

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person 90001 | Applicant,35 edit

$20.54 /mo.

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Standard Plan

Plan Type Vision

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$20.54 /mo.

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Plan Highlights

Best value. You’ll enjoy the lowest out-of-pocket costs in individual vision care, saving you hundreds of dollars on your eye exam and glasses.
Best care. Only VSP doctors offer a WellVision Exam®—the most comprehensive eye exam that aids in early detection of health conditions. You’ll get personalized care from VSP doctors who have the highest industry credentials.
Best choices. When you see a VSP doctor you’ll get the most out of your benefit. Choose from the nation’s largest network of doctors who carry a wide selection of name-brand frames for your style and budget.
Exclusive Member Extras. Get an extra $20 to spend when you choose a featured frame brand like bebe®, ck Calvin Klein, Flexon®, Lacoste, Nike, Nine West and more!

Common Procedures

Details

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Eye Exams: $15 copay for Vision overall wellness exam
(once every 12 months)

Frames: $150 In-Network Frame Allowance
$170 In-Network Allowance for featured frame brands
(once every 12 months)

Basic Lenses: $25 copay for Single Vision, Lined Bifocal, Lined Trifocal, and
Impact-resistant (polycarbonate) lenses for children
(once every 12 months)

Lens Enhancements: $0 - $175 copay for Progressive lenses (no-line bi/trifocals, ranging from standard to custom)
$41 - $85 copay for Anti-glare
$75 copay for Light-reactive lenses (photochromic adaptive lenses)
$31 – $35 copay for Impact-resistant (polycarbonate) lenses
$17 - $33 copay for Scratch-resistant coating
$15 – $17 copay for Tinted (colored) lenses
$16 copay for UV protection
Average 20 - 25% savings on other lens enhancements
(once every 12 months)

Contact Lenses: $150 In-Network Allowance for contacts and contact lens exam (fitting and evaluation) 15% savings on contact lens exam
(once every 12 months)

Additional Network Information:

Glasses and Sunglasses - Extra $20 to spend on a featured frame brand, which is on top of your frame allowance. Simply choose a featured frame brand from your VSP doctor and the extra $20 will be automatically applied to your purchase.

20% savings on additional glasses and sunglasses, including lens enhancements, from any VSP doctor within 12 months of your last WellVision Exam.

Retinal Screening - No more than a $39 copay on routine retinal screenings as an enhancement to your WellVision Exam.

Laser Vision Correction - Average 15% savings on the regular price or 5% savings on the promotional price from contracted facilities.

Renewing Your Plan - Your plan will automatically renew at the end of your policy period and your payment information you provided us will be automatically charged for the appropriate amount. We’ll remind you 60 days in advance of your renewal—in case you wish to make any changes to your plan prior to your renewal date. For questions about your VSP coverage, visit vsp.com or call us at 800.785.0699.

Member Satisfaction You have 30 days after your effective date to examine your plan risk-free. If within 30 days you’re dissatisfied with the plan you may return it and obtain a refund of any premium paid. If you return this policy, you will be responsible for payment in full of any services received or materials purchased from the policy effective date to the date the policy is returned. If you selected the monthly payment option for your annual benefit term, you’ve agreed to pay the required annual premium in twelve (12) payments. To provide new payment information or request cancellation, please call us at 800.785.0699.

*Coverage terms and conditions are set forth in the policy under which the individual consumer is insured, and such terms and conditions vary according to the laws of the state in which the policy was issued.

Based on applicable laws, benefits may vary by location.

Exclusions and Limitations
Privacy Policy
Plan Brochure

FAQ

What provider options do I have?

Find a VSP network doctor who’s right for you from our network of 34,000 providers. If you choose to see an out-of-network provider, you’ll receive less coverage.

When can I start using my Plan?

When will I receive my new member kit and what will it include?

Who can enroll in this plan?

Disclaimers & Disclosures

This website provides a very brief description of some of the important features of this plan. It is not the insurance contract, nor does it represent the insurance contract. A full description of benefits, exclusions and limitations is contained in the Schedule of Benefits and your policy.

Rates shown are based upon the information you provided, and are subject to change based on the dental and/or vision plan's underwriting practices and your selection of available optional benefits, if any. Final rates and effective dates are subject to underwriting and are always determined by the dental insurance and/or vision insurance company. To be considered for reimbursement, expenses must qualify as covered expenses.

This site was designed to provide you with a general description of the plans you requested. Keep in mind that it does not include all the benefits and limitations outlined in the policies -- it is the insurance contract, not the general descriptions on this website, which forms the contract between you and the insurance company.

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