VSP Vision Plans
SFHSS members and eligible dependents who are enrolled in a medical plan are automatically enrolled in the VSP Basic Vision plan. If you do not enroll in a medical plan, you will not have vision plan coverage.
The VSP Premier plan is available to eligible members. For an additional premium, VSP Premier offers enhanced eyeglass and contact benefits. Under either plan, you can choose a VSP network doctor or a non-VSP provider. If you use a VSP network provider you will have lower out-of-pocket costs for covered services. To receive service from a VSP network provider, call a VSP network provider directly to make an appointment - no ID cards are issued.
Visit VSP's SFHSS website here.
Find in-network providers here.
Vision Plan Benefits-at-a-Glance
| Covered Services | Vision Service Plan - Basic1 | Vision Service Plan - Premier |
|---|---|---|
| Well Vision Exam | $10 co-pay every calendar year | $10 co-pay every calendar year |
| Single Vision Lenses | $25 co-pay every other calendar year2 | $0 every calendar year |
| Lined Bifocal Lenses | ||
| Lined Trifocal Lenses | ||
| Standard Progressive Lenses | 100% coverage every other calendar year | 100% coverage every calendar year |
| Premium Progressive Lenses | $95–$105 co-pay every other calendar year | $25 co-pay every calendar year |
| Custom Progressive Lenses | $150–$175 co-pay every other calendar year | |
| Standard Anti-Reflective Coating | $41 co-pay every other calendar year | |
| Premium Anti-Reflective Coating | $58–$69 co-pay every other calendar year | |
| Custom Anti-Reflective Coating | $85 co-pay every other calendar year | |
| Scratch-Resistant Coating | Fully covered every other calendar year | Fully Covered every calendar year |
| Frames | $150 allowance for a wide selection of frames. $170 allowance for featured frames; 20% savings on amounts over the allowance; $80 allowance at Costco and Walmart/Sam's Club; $25 co-pay applies; Every other calendar year. | $300 allowance for a wide selection of frames. $320 allowance for a featured frame; 20% savings on the amount over your allowance; $165 allowance at Costco and Walmart/Sam's Club; No additional co-pay; Every calendar year. |
| Contacts (instead of glasses) | $150 allowance every other calendar year2 | $250 allowance every calendar year |
| Contact Lens Exam | Up to $60 co-pay every other calendar year2 | Up to $60 co-pay every calendar year |
Essential Medical Eye Care (for the treatment of urgent or acute ocular conditions) | $5 co-pay | $5 co-pay |
| Lightcare | $150 allowance for ready-made non-prescription sunglasses, or ready-made non-prescription blue light-filtering glasses, instead of prescription glasses or contacts, every other calendar year. | $300 allowance for ready-made non-prescription sunglasses, or ready-made non-prescription blue light-filtering glasses, instead of prescription glasses or contacts, every calendar year. |
| Your Coverage with Out-of-Network Providers | |||
|---|---|---|---|
| Visit vsp.com if you plan to see a provider other than a VSP network provider. | |||
| Exam Up to $50 | Single Vision Lenses Up to $45 | Lined Trifocal Lenses Up to $85 | Contacts Up to $105 |
| Frame Up to $70 | Lined Bifocal Lenses Up to $65 | Progressive Lenses Up to $85 | |
1VSP Basic Plan coverage is included with your medical premium.
2Under the VSP Basic plan, new lenses may be covered the next year if Rx change is no less than a +/- 0.50 diopter power.
3Employees with 11 and 21 pay periods pay a pro-rated premium rate for VSP Premier before summer break.
In any instance where information in this chart conflicts with the plan’s Evidence of Coverage (EOC), the plan’s EOC shall prevail.
Find the Value in Your Benefits
Discover more about the other options available to you by reviewing the Summary of Benefits in the plan documents. Below are some examples:
Additional Savings
https://www.vsp.com/offers/special-offers/health-wellness/VSP-Exclusive-Member-Extras
Discount on LASIK Procedures
VSP LightCare
Allows members to use their benefit toward ready-made, non-prescription sunglasses or ready-made, non-prescription blue light filtering glasses instead of prescription glasses or contacts.
Essential Medical Eye Care
Coverage for urgent and emergency care and special ophthalmological services.