You have two vision care options, both provided through Vision Service Plan (VSP): the VSP Signature Plan and the VSP Signature Plus Plan. Both plans cover eye exams, lenses, frames, and contact lenses at special rates. The main difference between the two plans is that the Signature Plus Plan covers new frames every 12 months instead of every 24 months, and it also allows you to choose one of five upgrades through VSP EasyOptions (see chart below).
Benefits and Covered Services
The chart below shows how common treatments and services are covered under the vision plans. For additional details about the vision plans, including what is excluded, see the documents listed at the bottom of this page.
Signature Plan | Signature Plus Plan | |
---|---|---|
Frequency | ||
Exams | 12 months | 12 months |
Lenses | 12 months | 12 months |
Frames | 24 months | 12 months |
Copays | ||
Exams | $10 | $10 |
Frames | $25 | $25 |
Lenses | ||
Single vision, bifocal, trifocal | No charge | No charge |
Anti-reflective coating | $37–$75 | No charge |
Premium/custom progressives | $80–$160 | No charge |
Photochromic | $13–$15 | No charge |
Frame Allowance | $155 | $155 |
Contact Lens Allowance | $130 | $130 |
VSP EasyOptions | N/A | Choose one of these upgrades:
|
VSP LightCare Allowance | $155 for ready-made non-prescription sunglasses or blue-light-filtering glasses (every 24 months) | $155 for ready-made non-prescription sunglasses or blue-light-filtering glasses (every 12 months) |
2024 Employee Cost per Pay Period
You may elect to cover yourself only or yourself and any eligible dependents. Below is the cost per paycheck. Any premiums paid by you—other than for domestic partner coverage—are on a pretax basis.
Employee only
Employee only
Plan | Cost |
---|---|
VSP Signature Plan | $3.46 |
VSP Signature Plus Plan | $8.08 |
You & spouse/domestic partner
You & spouse/domestic partner
Plan | Cost |
---|---|
VSP Signature Plan | $4.62 |
VSP Signature Plus Plan | $11.54 |
* You must generally pay for coverage of a domestic partner and a domestic partner's children on an after-tax basis, and the value of the Company subsidy, if any, must generally be included in your taxable income. This is called "imputed income." Contact your tax advisor for more information.
You & children
You & children
Plan | Cost |
---|---|
VSP Signature Plan | $3.69 |
VSP Signature Plus Plan | $10.62 |
You, spouse/domestic partner & up to 2 children
You, spouse/domestic partner & up to 2 children
Plan | Cost |
---|---|
VSP Signature Plan | $6.93 |
VSP Signature Plus Plan | $18.47 |
* You must generally pay for coverage of a domestic partner and a domestic partner's children on an after-tax basis, and the value of the Company subsidy, if any, must generally be included in your taxable income. This is called "imputed income." Contact your tax advisor for more information.
You, spouse/domestic partner & 3 or more children
You, spouse/domestic partner & 3 or more children
Plan | Cost |
---|---|
VSP Signature Plan | $8.31 |
VSP Signature Plus Plan | $19.85 |
* You must generally pay for coverage of a domestic partner and a domestic partner's children on an after-tax basis, and the value of the Company subsidy, if any, must generally be included in your taxable income. This is called "imputed income." Contact your tax advisor for more information.
Online Information
Visit the VSP website for more details on your vision benefit and for exclusive savings and promotions for VSP members. You may register to view your policy information, submit an out-of-network claim, check the status of a claim, or gain access to your enrollment information and print out an ID card.
Summary of Your Vision Benefits
Here's the VSP Vision Benefits Highlights Overview for your plan options and coverage.