Elective Contact Lenses

2021 and 2022 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, which employees pay.

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

Employees and their covered dependents enrolled in the vision plan may receive services and supplies from the vision care provider of their choice. However, they will pay more when they use an out-of-network provider. Find a list of in-network providers on the VSP website.