Eye Exam

2020 and 2021 Plan Year Information

VSP Option AVSP Option B
Eye Exam

In-Network:
100% after $20 copay

Out-of-Network:
Up to $50 allowance after $20 copay

In-Network:
100% after $20 copay

Out-of-Network:
Up to $40 allowance after $20 copay

Note

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

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.