2023 vision plan comparison
The Provider Network for both vision plans is the VSP Network, including VSP-participating locations.
| Basic | High | |
|---|---|---|
| Routine Eye Exam | In-network: Plan pays 100% Out-of-network: Plan pays up to $19 |
In-network: Plan pays 100% Out-of-network: Plan pays up to $19 |
| Lenses | In-network: $40 copay (includes single, bifocal, trifocal and scratch resistant; polycarbonate lenses are included for dependent children); available every other calendar year Out-of-network: Limited scheduled amount on vision, lined bifocal and trifocal lenses |
In-network: $10 copay (includes single, bifocal, trifocal, progressive, scratch resistant, UV coating and anti-reflective; polycarbonate lenses are included for dependent children); available once per calendar year Out-of-network: Limited scheduled amount on single vision, lined bifocal and trifocal lenses |
| Frames | In-network: Plan pays up to $130 with 20% discount if price exceeds maximum; available every other calendar year Out-of-network: Plan pays up to $22 |
In-network: Plan pays up to $155 with 20% discount if price exceeds maximum; available once per calendar year Out-of-network: Plan pays up to $22 |
| Contact Lenses | In-network: $40 copay for contact lenses exam; plan pays up to $130 for contact lenses; available every other calendar year Out-of-network: Plan pays up to $130 |
In-network: $10 copay for contact lenses exam; plan pays up to $155 for contact lenses; available once per calendar year Out-of-network: Plan pays up to $130 |
| Computer Vision Care | NONE |
$10 copay for lenses every calendar year. Plan pays up to $90 for frames; available every other calendar year |