VSP Vision Plans
SFHSS offers two vision plans for members and dependents who are enrolled in a SFHSS medical plan. Vision coverage is provided through Vision Service Plan (VSP).
Vision Service Plan - Basic
The VSP Basic Plan is included with enrollment in all SFHSS medical plans. Members are eligible for a vision exam once a year, and either one set of contacts or a pair of eyeglasses frames/lenses every other calendar year. Eligible dependent children are covered in full for polycarbonate prescription lenses. Vision Service Plan - Premier Members may buy-up to the VSP Premier Plan that includes coverage for either one set of contacts or a pair of eyeglasses frames/lenses every calendar year. The VSP Premier Plan provides a higher allowance for a frame and lenses or contacts. If a member buys up to the VSP Premier Plan, member’s dependents will also be enrolled in the VSP Premier Plan.
Vision Service Plan - Premier
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.
Create an account 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.
Accessing Your Vision Benefits
You may receive services from a VSP in-network or out-of-network provider. In-network providers include Walmart Vision and Sam's Club. Visit www.vsp.com for a complete list of network providers.
To receive services from an in-network provider, contact the provider and identify yourself as a VSP Vision Care member before your appointment. VSP Vision Care will provide benefit authorization directly to the provider. You must receive services before the benefit authorization expires.
If you receive services from an in-network provider without prior authorization or obtain services from an out-of-network provider (including Kaiser Permanente), you are responsible for paying the provider in full. You may submit an itemized bill to VSP for partial reimbursement.
Before choosing an out-of-network provider, compare the cost of out-of-network services with in-network costs. You can submit a reimbursement claim online through your VSP member account or contact VSP Member Services at (800) 877-7195 to request a claim or reimbursement form.
Expenses Not Covered by Plan
Your plan does not cover:
- Orthoptics (and any associated supplemental testing), plain (non-prescription) lenses, or two pairs of glasses instead of one pair of bifocals.
- Replacement of lost or broken lenses or frames, except at the contracted replacement intervals.
- Medical or surgical eye treatment, except for limited Essential Medical Eye Care.
- Corrective vision procedures, including but not limited to LASIK and PRK laser surgery. However, you may be eligible for discounts through a VSP network doctor.
VSP Computer VisionCare Benefit
Some union contracts provide employer-paid computer vision benefits. Coverage includes an annual computer vision exam, $75 in-network retail frame allowance every other calendar year and single vision, bifocal, and trifocal lenses every calendar year. You can also add anti-reflective or UV coating at no additional cost.
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.
Plan Resources
VSP Vision Wellness Highlights and Discounts
Freedom to Choose In-Network and Preferred Online Retailer flyer
Eyecare Discovery Center
TruHearing - Hearing Aid Discounts
Eyewear and Wellness News
LightCare Active Flyer