1. Does my VSP coverage include laser vision correction?
2. I need different glasses for my work at the computer screen. Can I get new glasses for computer use and still get new glasses for everyday use?
3. What’s the difference between “elective” and “medically necessary” contact lenses?
4. Can I get glasses and contacts at the same time?
5. Are progressive (no lined) lenses covered?
6. Can I access my vision benefits while traveling overseas?
7. If I use an out-of-network provider, how do I pay and how do I file a claim?

There is an average discount of 15% available for laser vision corrective surgery if you use a network provider. However, the claims for the laser vision corrective procedure will not be processed and paid by VSP. After you determine your provider is in the network, he or she will make arrangements for the discount to be applied to your total costs both (preoperative and postoperative).

The Plan would pay for one set of glasses every 12 months and new frames every 24 months. If you need an additional pair of glasses before that period of time has elapsed, you may purchase them with a 20% discount as long as they are purchased from the same VSP doctor who provided your eye exam. However, a second pair of glasses would not be covered by the Plan if they are ordered at the same time your other glasses are purchased.

What’s the difference between “elective” and “medically necessary” contact lenses?

When you are getting your eye exam and you choose to wear contact lenses instead of prescription glasses, your contacts are considered “elective.” “Medically necessary” contact lenses are supplied with prior approval for the following situations:

• following cataract surgery
• to correct extreme visual acuity problems to 20/70 in the better eye
• in cases of irregular astigmatism or irregular corneal curvature
• in cases of keratoconus

With VSP, glasses and contact lenses will not both be covered by the plan in the same 12-month period. At least 12 months must separate the purchase of glasses and contact lenses in order for coverage to be provided for both.

VSP members receive a 20% discount in addition to the already discounted VSP allowance for trifocal (lined) lenses. Once all discounts are applied by the VSP network provider, you could save up to 50% off the actual cost of trifocal lenses.

Progressive lenses are covered as per the following formula:

Cost of Progressive Trifocal – (minus) VSP Allowance for Lined Trifocals = Balance
Balance x (times) 20% additional discount = Final Cost to Member

Example:
$ 200 (Cost of Progressive Trifocals)
– $85 (VSP Allowance for Lined Trifocals)
-----------
= $115
– $23 (20% additional VSP discount)
-----------
= $92 (Members total out-of-pocket for Progressive Trifocals)

Note: These costs are for example only and do not represent actual costs. The actual costs will be determined by the network provider’s allowed rate in your geographical location.

Yes. If you need glasses or contacts while in another country, you can apply for the out-of network benefits converted to United States dollars by submitting a claim form for reimbursement (see instructions below for submitting a claim).

If I use an out-of-network provider, how do I pay and how do I file a claim?

At the time of service you pay the provider in full and then get reimbursed by VSP.
For reimbursement, sign on to www.vsp.com and print the Out-of-Network Reimbursement Form OR send the following information to VSP:

• An itemized receipt listing the services you received
• The name, address, and phone number of the non-VSP provider
• The covered member's ID number
• The covered member's name, phone number, and address
• The name of the organization that provides your VSP coverage
• The patient's name, date of birth, phone number, and address
• The patient's relationship to the covered member (such as "self," "spouse," "child")

Please keep a copy of the information and mail the originals to the following address:

VSP
Attn: Out-of-Network Claims
P.O. Box 997105
Sacramento, CA 95899-7105

Out-of-network claims must be submitted to VSP within six months for reimbursement.