* Based on your last date of service.
2 Subject to Copayments. Your Copayments apply to in and out of network Benefits.
3 The VSP program covers a wide selection of quality frames. Because of the cosmetic nature of frames and rapidly changing style, VSP has a limit on the cost of frames provided under the program. The limit is designed to cover the majority of frames currently in use. Members who select frames that exceed the limit will pay extra. The Member can find out from their VSP doctor, when they are looking at frames, which ones will be within their VSP allowance. Your plan also provides a 20% discount on additional complete pairs of prescription glasses.
4 Members can choose contacts in lieu of spectacle lenses and a frame.
5 Your plan includes a 15% discount off of the VSP doctors professional services when buying contact lenses. Materials are provided at the customary fees.
6 Medically necessary contact lenses must be prescribed by a VSP doctor for certain conditions. Your VSP doctor must get prior approval from VSP for medically necessary contact lenses.