Elective Contact Lenses

2021 Plan Year Information

VSP Option AVSP Option B
Note

The figures in the chart below reflect what the Plan pays, with the exception of deductibles and out-of-pocket maximums.

Elective Contact Lenses (instead of eyeglasses)

In-Network:
Up to $250 and $60 max copay for contact lens exam

Out-of-Network:
Up to $105 (includes exam and fitting)

In-Network:
Up to $150 and $60 max copay for contact lens exam

Out-of-Network:
Up to $100 (includes exam and fitting)

Finding a VSP Provider

If you are enrolled in the vision plan, you may receive services and supplies from the vision care provider of your choice. However, you will pay more when you use an out-of-network provider. You can find a list of in-network providers on the VSP website.