Notice

May 22 - September 4: Customer Service hours are Monday through Thursday 8:00 AM to 6:30 PM EDT and Friday 8:00 AM to 1:00 PM EDT.

 

To view benefit information and claim status at any time, you can sign into your account or use our Interactive Voice Response System 24/7 at (800-452-9310).

Notice

May 22 - September 4: Customer Service hours are Monday through Thursday 8:00 AM to 6:30 PM EDT and Friday 8:00 AM to 1:00 PM EDT.

 

To view benefit information and claim status at any time, you can sign into your account or use our Interactive Voice Response System 24/7 at (800-452-9310).

Essential plan

 Request rates for 2-50 enrolled employees

 Request a quote for 51+ enrolled employees

Questions?
Contact your Sales Executive or call 800-624-2633.
 

In-network coverage

   
Exam/Lens/Frame frequency (Months) 12/12/24
Contacts frequency (in lieu of glasses) 12
Exam copay $10
Materials copy $25
Frame allowance

$130
$70 - Walmart/Sam's Club and Costco
Elective contact lens allowance $130
Necessary contact lenses Covered in full after copay
Contact lens fit/Eval copay  Up to $60
Both frames and contacts in the same year  No (allows contacts in lieu of frames)

Out-of-network allowances (in addition to in-network copays)

Benefits Member cost
Examination; up to: $45
Single vision lenses; up to: $30
Bifocal lenses; up to: $50
Trifocal lenses; up to: $65
Progressive lenses; up to: $50
Lenticular lenses; up to: $100
Frames; up to: $70
Elective contact lenses; up to: $105
Necessary contact lenses; up to:  $210

Lens enhancements1

Benefits Member cost
Anti-glare coating $41 single
$41 multifocal
Impact-resistant lenses $31 single
$35 multifocal (covered for children)
Progressive lenses Standard progressive lenses are covered
Light-reactive lenses $75 single vision
$75 multifocal
Scratch-resistant coating $17 single vision
$17 multifocal

Additional savings

Benefits Plan details
Frames discount over allowance2 An extra $20 allowance on featured designer brands for frames. 20% savings on any amount above the retail allowance.
Additional pair2 20% off unlimited additional pairs of prescription glasses and/or non-prescription sunglasses from any VSP provider within 12 months of exam.
LASIK2 Average 15% off the regular price or 5% off the promotional price; discounts only available from contracted facilities.
Retinal screening2 Routine retinal screening covered for a maximum fee of $39.
Lens coverage2 Glass or plastic single vision, lined bifocal, lined trifocal, or lenticular lenses are covered in full
Essential Medical Eye Care
  • Retinal screening for members with diabetes covered-in-full
  • Additional exams and services beyond routine care to treat immediate issues such as pink eye or to monitor ongoing conditions like high blood pressure, diabetes, and more. Coordination with your medical coverage may apply. Ask your VSP network doctor for details. Available as needed. $20 per exam.
 Low vision
  •  Pre-approved low vision supplemental testing covered every two years.
  • 75% coverage for approved low vision aids, up to $1,000 (less any amount paid for supplemental testing) every two years.
Eyeconic2  Go to Eyeconic.com for an easy-to-use, convenient online eyewear option.
TruHearing4  Save up to 60% on hearing aids and batteries. Visit TruHearing.com/VSP or call 1-877-396-7194 for more information.

Disclaimers and Exclusions.

Promotions and featured frame brands do not apply at Costco® Optical. Walmart/Sam's Club and Costo® Optical allowance of $80 is equivalent to the frame allowance at VSP doctor locations and participating retail chains.


  • 1Prices shown reflect the standard plastic price for each respective category. Premium lens enhancement prices may vary. Prices are valid only through VSP Choice Network Providers and are subject to change without notice.
  • 2Available In Network only.
  • 3Covered in full materials and services are less any applicable copay. Based on applicable laws, benefits and savings may vary by location. Benefits may also vary at participating retail chains. Promotions like rebates are continually evaluated and subject to change without notice. In the state of Washington, VSP Vision Care, Inc., is the legal name of the corporation through which VSP does business.

    The following items are excluded under this plan: plano lenses (lenses with refractive correction of less than +/- diopter), two pairs of glasses instead of bifocals; replacement of lenses, frames, or contacts; medical or surgical treatment; orthoptics; vision training or supplemental testing.
  • 4VSP is providing information to its members, but does not offer or provide any discount hearing program. VSP makes no endorsement, representations or warranties regarding any products or services offered by TruHearing, a third-party vendor. TruHearing is not insurance and not subject to state insurance regulations. For additional information, please visit vsp.com/offers/special-offers/hearing-aids/truhearing. For questions, contact TruHearing directly. Not available directly from VSP in the states of Washington and California. 

This overview contains a general description of your vision care program for your use as a convenient reference. Complete details of your program appear in the group contract between your plan sponsor and Delta Dental of Connecticut, Inc. which governs the benefits and operation of your program. The group contract would control if there should be any inconsistency or difference between its provisions and the information in this overview. Claims processing, claims services, and provider network administration for DeltaVision are provider under contract by VSP. VSP, Eyeconic, and eyeconic.com are registered trademarks of Vision Service Plan.