Vision Benefits & Claims

VISION BENEFITS PARTNER: VSP VISION

For a list of network vision providers in your area, go to vsp.com or call (800) 877-7195.

SCHEDULE OF VISION BENEFITS

Below is a summarized schedule 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 98-99 of the March 2025 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. Shopping online can yield the best pricing.

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.

VSP LASER VISIONCARE℠ PROGRAM

Through the VSP Laser VisionCare℠ Program, Health Plan participants with vision coverage can obtain special pricing on laser services and procedures from a VSP Laser VisionCare network doctor. The program covers visits to your network doctor before and after Laser procedures and offers discounted pricing on certain services.

Savings can total an average of 15% off the regular price or 5% off the promotional price of services at contracted facilities. For more information on how to use this benefit, click here.

TRUHEARING® HEARING AID DISCOUNT PROGRAM (free to all VSP members)

In partnership with VSP, its TruHearing program can help make hearing aids affordable by providing exclusive savings to all VSP Vision Care members.

For more information on how to enroll in TruHearing MemberPlus, click here.

FILING A VISION CLAIM

Only vision claims from non-VSP providers should be filed with VSP Vision Care. When you visit a VSP provider, your doctor should take care of your claim.

💻 ONLINE

Only registered users of VSP.com can submit claims electronically online.

To submit your non-network vision claims online, follow the steps below:

  1. Be sure your receipts have been scanned and are accessible by your computer
  2. Login to your vsp.com account
  3. Click on View Your Benefits, then My Benefits
  4. Scroll down and click Submit an Out-of-Network Claim
  5. Complete the fields and follow the prompts
  6. Upload your receipts
  7. Click Submit

NOTE: After completing a vision claim form online, you may also print your completed form and return it along with your receipt(s) by mail, using the information below.

✉️ MAIL

All claims by mail must be submitted on a VSP Member Reimbursement Form.

  1. To submit a claim by mail, download the VSP Member Reimbursement Form here or contact VSP Member Services at 800.877.7195 to request a form. You must complete the form and mail it to the address below.
  2. Mail your claim form and copies of your  receipt(s) to the address below:
  3. VSP Vision
    Attention: Claims Services
    P.O. Box 495918
    Cincinnati, OH 45249-5918