Vision Benefits Overview
For full details about the vision benefits available from the DGA–Producer Health Plan, refer to the March 2020 Health Plan Summary Plan Description, beginning on page 79.
Vision Provider Network
Vision Service Plan (VSP) is the Health Plan’s vision provider network.
For a list of network vision providers in your area, go to vsp.com or call (800) 877-7195.
Click here for a summary of your VSP vision benefits.
Below is a summary of vision benefits under the Health Plan.
Service Frequency | Network Benefit | Non-Network Maximum Benefit* |
|
---|---|---|---|
Exams | Once per calendar year | $30 co-payment | $45 |
Frames | Once every other calendar year | $220 allowance $240 allowance for featured frame brands |
$70 |
Lenses | Once per calendar year | $200 allowance | Single Vision Lenses $30 Lined Bifocal Lenses $50 Lined Trifocal Lenses $65 Contact Lenses $105 per lens (elective) $210 per lens (medically necessary) |
*after deducting applicable network co-payment amount
You can obtain vision services from a non-VSP provider. However, you will have increased costs and will have to file a claim with VSP for reimbursement. See pages 80-81 of the March 2020 Health Plan Summary Plan Description for more information.
Where to Buy Glasses and Contact Lenses
You may use your VSP vision benefits toward the purchase of eyeglass lenses, frames, and contact lenses from VSP network or non-network providers, including retail, online and discount vendors.
You are encouraged to compare vendors to find the eyeglasses and/or contact lenses that best meet your needs and budget. You may also take advantage of discounts and coupons available from VSP. However, you may find that you can still find better pricing by comparison shopping online.
Be sure to refer to the chart above and the summary of benefits for information on allowances and maximum benefits available with network and non-network vision service providers.
TruHearing® Hearing Aid Discount Program (free to all VSP members)
In partnership with VSP, the TruHearing discount health medical organization offers all VSP members free enrollment in its TruHearing MemberPlus® Hearing Aid Discount Program. TruHearing MemberPlus provides a number of hearing aid-related discounts and services to enhance the Health Plan’s existing benefits and further reduce your out-of-pocket hearing aid expenses.
For more information on how to enroll in TruHearing MemberPlus, click here.