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Vision

Vision Service Plan (VSP) features more than 22,000 professional vision care providers for persons covered under the Relief PPO Medical Plan. Using your VSP benefits is easy. Find a provider who is right for you, renew your benefit information and at your appointment, tell your provider you have VSP. That’s it! There are no I.D. cards or claim forms necessary.

PLAN SUMMARY

VSPNON-VSP
Eye Exam Icon
EYE EXAM
*Once per calendar year


$10 COPAY


Up to $45
VSPNON-VSP
Lenses Icon
LENSES
*Once per calendar year


100%

Up to $45 single vision
Up to $65 bifocal
Up to
$85 trifocal
VSPNON-VSP
Frames Icon
FRAMES
*Every other calendar year


Up to $200


Up To $47
Frames up to $120 at Costco. Up to $220 on some of these featured brands
VSPNON-VSP
Contact Lense Icon
CONTACT LENSES
(Instead of Glasses)
*Once per calendar year


Up to $200


Up to $105
VSPNON-VSP
Lasik Eye Surgery Icon
LASIK SURGERY
*Once per lifetime


Up to $1,500 per eye


Up to $750 per eye

Essential Medical Eye Care

Essential Medical Eye Care allows you to receive additional follow-up medical eye care services from your
VSP doctor, who knows your eyes best.

WHAT’S COVERED UNDER ESSENTIAL MEDICAL EYE CARE?

  • Covered-in-full retinal screening (digital imaging of the inside of the eye) for members with diabetes who do not have diabetic eye disease. These retinal photographs help your doctor establish a baseline to monitor and track changes in your eyes over time
  • Additional exams and services that track and monitor diabetic eye disease progression
  • Treatment for dry eye, pink eye, eye injury, and foreign body removal
  • Exams and services to diagnose and monitor glaucoma and cataracts
  • Tests to diagnose sudden vision changes

Vision coverage is automatically included when you enroll in the Relief PPO Medical Plan. You can choose any provider, but you’ll save money if you use a VSP network provider. If you use a non-VSP provider, you are responsible for paying the provider in full and submitting a claim to VSP for reimbursement. Take a look at the Benefits Summary for your vision benefits through VSP.

To find a vision care provider or for more information, call VSP at (800) 877-7195 or visit vsp.com.

Click here for VSP tips

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Main Office Numbers
(800) 244-3439 Toll-free
(323) 259-5200 Direct

Office Location
7470 N. Figueroa St
Los Angeles, CA 90041

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