How the Vision Plan works

While you have the freedom to see any provider, you can make the most of your vision benefits by using network providers.

Save with network providers

When you use an optometrist or ophthalmologist who participates in the VSP network, you pay a set copay (with no deductible) for an annual routine eye exam. Your benefit covers the rest of the cost. You also can save hundreds of dollars on your out-of-pocket costs for glasses and contacts by using VSP network providers. VSP has the largest network of independent vision care providers, 42,000 network providers and more than 110,000 locations across the country. The network includes major retail chains, such as Visionworks, Walmart, Sam’s Club, and Costco.

You can also maximize your benefits when using VSP Premier Edge locations, which include private practice doctors and Visionworks retail stores.

To find network providers, register or log on to the VSP website, or call VSP at 800-877-7195.

When using network providers, your coverage includes these features:

• You can get an annual routine vision exam with a network provider for a $25 copay.
• You can get a pair of glasses from a network provider once a year and pay just a $25 copay.
• If you choose frames that cost more than the plan’s annual allowance of $150, you pay the copay, plus the difference between the actual cost and the allowance.
  
• If you choose a featured brand frame, you’ll get an extra $50* to spend for a total allowance of $200. Log on to the VSP website to find a Premier Edge location that carries these brands.
• You get a 20% discount on amounts over the allowance as well as savings on popular lens enhancements.*
• If you choose contacts instead of glasses, you pay a $25 copay for the exam and fitting and nothing for your contacts up to a $175 annual allowance.
• You also enjoy savings on extra pairs of glasses and sunglasses from any VSP provider within 12 months of your last well-vision exam by a VSP provider.

*Brands/promotions subject to change. Extra $50 and 20% savings do not apply to Costco, Walmart, or Sam’s Club.

Using your vision coverage

To use your vision coverage:

• simply tell your VSP network provider you have coverage through VSP
  
• provide the last four digits of your Social Security number
  

Note: Covered family members should provide the employee’s name and date of birth and the last four digits of the employee’s Social Security number.

You don’t need to show an identification card; however, if you’d like a card as a reference, you can print one from the VSP website.

You also have freedom to use out-of-network providers and receive reimbursement for covered services up to a set maximum amount.

Shop online with Eyeconic

You can use your vision coverage to receive network savings on glasses or contacts purchased at Eyeconic. In addition to the convenience of shopping online, you get a complimentary frame adjustment or contact lens consultation from a VSP network provider’s office to ensure your eyewear fits properly.

To apply your benefits to online purchases, create an account on the Eyeconic website, and enter your vsp.com username and password when completing the Eyeconic account. When you select a product, Eyeconic will show you how much of the retail price is covered by your vision benefit.

Out-of-network providers

If you use an out-of-network provider, you can submit a claim to VSP for reimbursement, as shown in the chart below.

To submit claims online:

• log on to the VSP website
  
• if prompted, select Board of Pensions Eyewear (Board of Pensions — Presbyterian Church) and click Continue to Plan
• click Benefits
• scroll down and click Submit a Claim, then
• click Start New Claim and follow the instructions to upload your receipts
  

If you prefer to submit your claim by mail, contact VSP at 800-877-7195 to obtain a VSP Member Reimbursement Form and mail the completed form to VSP Member Claims, P.O. Box 495933, Cincinnati, OH 45249. Allow up to 20 business days (plus mailing time) for processing.