Vision Benefits

WellVision Exam

1 per 12 months

$10

Up to $45

Laser Vision Correction Discount

Once per eye
per lifetime

• Average 15% off the
regular price or 5% off the promotional price.
• Discounts only available
from contracted facilities.

N/A

Lenses
Single Lined

Bifocal Lined

Trifocal

Lenticular

Necessary Contacts

1 per 12 months

$25
(Lenses & Frame)

Up to $30

Up to $50

Up to $60

Up to $100

Up to $210

Lens Enhancements
Standard Progressive

Premium Progressive

Custom Progressive

No cost
$95 - $105 copay
$150 - $175 copay
Average savings of 20-25% on other lens enhancements

N/A

Frames*
Includes a wide selection of frames at
Walmart®.

1 per 24 months

• $130 for the frame of
your choice and 20% off the amount over your allowance
• $70 allowance at Costco®*

Up to $70

Elective Contact Lenses

(Contact lenses are in place of lenses and
frame)

1 per 12 months

• Up to $60 / 15% savings
for your contact lens exam (fitting and evaluation)
• $130 for contact lenses

Up to $105

Additional Glasses and
Sunglasses Discount

20% off additional glasses and sunglasses,
including lens options, from the same VSP doctor
on the same day as your exam. Or get 20% off
from any VSP doctor within 12 months of your last
exam.

N/A

Coverage with Retail Providers

*Coverage with retail providers may be different. Check with Costco® and
Walmart® for VSP member pricing. The Costco allowance is equivalent to the
allowance at preferred providers and other retail providers.

Employee Only

$0.00

$5.66

$2.83

$1.31

Family

$0.00

$15.85

$7.93

$3.66