Transcription of Life is better in focus. TM - ebview.com
1 Get access to the best in eye care andeyewear with Hallmark Cards and VSP vision enroll in VSP? As a member, you ll receive access to carefrom great eye doctors, quality eyewear, and the affordabilityyou deserve, all at the lowest out-of-pocket ll like what you see with and Savings. You ll enjoy more value and the lowest Quality vision care . You ll get the best care from a VSP networkdoctor, including a WellVision Exam the most comprehensive examdesigned to detect eye and health of Providers. The decision is yours to make choose a VSPnetwork doctor, a participating retail chain, or any out-of-network Eyewear. It s easy to find the perfect frame at a price that fits your VSP benefit is an account at Once your plan is effective, review yourbenefit an eye doctor who s right for you. Visit or your appointment, tell them you have VSP. There s no ID cardnecessary. If you d like a card as a reference, you can print one s it! We ll handle the rest there are no claim forms to complete whenyou see a VSP in EyewearFrom classic styles to the latest designer frames, you ll find hundreds ofoptions.
2 Choose from featured frame brands like bebe , CALVIN KLEIN,Cole Haan, Flexon , Lacoste, Nike, Nine West, and Visit tofind a Premier Program location that carries these brands. Plus, save up to40% on popular lens Prefer to shop online? Check out allof the brands at , VSP's preferred online eyewear in VSP 04/02/ 2018 - 04/27 ll be glad you us. is better in focus. TM Your VSP vision Benefits SummaryHallmark Cards and VSP provide you with an affordable eye care Enrollment: 04/02/ 2018 - 04/27/ 2018 VSP Coverage Effective Date: 05/01/ 2018 VSP Provider Network: VSP ChoiceFrequencyCopayDescriptionBenefitYo ur Coverage with a VSP ProviderEvery plan year$25 WellVision ExamFocuses on your eyes and overall wellnessSee frame and lenses$25 Prescription GlassesEvery plan yearIncluded inPrescriptionGlassesFrame$150 allowance for a wide selection of frames$170 allowance for featured frame brands20% savings on the amount over your allowance$80 Costco frame allowanceEvery plan yearIncluded inPrescriptionGlassesLensesSingle vision , lined bifocal, and lined trifocal lensesPolycarbonate lenses for dependent childrenEvery plan year$55 Lens EnhancementsStandard progressive lenses$95 - $105 Premium progressive lenses$150 - $175 Custom progressive lensesAverage savings of 20-25% on other lens enhancementsEvery plan year$60 Contact Lenses (ininstead of glasses)$150 allowance for a contacts.
3 Copay does not applyContact lens exam (fitting and evaluation)As needed$20 Diabetic Eyecare PlusProgramServices related to diabetic eye disease, glaucoma and age-relatedmacular degeneration (AMD). Retinal screening for eligible memberswith diabetes. Limitations and coordination with medical coveragemay apply. Ask your VSP doctor for and SunglassesExtra SavingsExtra $20 to spend on featured frame brands. Go to for savings on additional glasses and sunglasses, including lens enhancements, from any VSP provider within 12months of your last WellVision ScreeningNo more than a $39 copay on routine retinal screening as an enhancement to a WellVision ExamLaser vision CorrectionAverage 15% off the regular price or 5% off the promotional price; discounts only available from contracted facilities$ Member only $ Member + spouse $ Member + child(ren) $ Member + familyYour MonthlyContributionYour Coverage with Out-of-Network ProvidersGet the most out of your benefits and greater savings with a VSP network doctor.
4 Your coverage with out-of-network providers will be less or you llreceive a lower level of benefits. Visit for plan to $ to $70 Single vision to $30 Lined Bifocal to $50 Lined Trifocal to $ to $105 Coverage with a participating retail chain may be different. Once your benefit is effective, visit for details. Coverage information is subject to change. In the event of a conflict between thisinformation and your organization s contract with VSP, the terms of the contract will prevail. Based on applicable laws, benefits may vary by location. In the state of Washington, VSP vision care , Inc.,is the legal name of the corporation through which VSP does us. | Brands/Promotion subject to Savings based on network doctor's retail price and vary by plan and purchase selection; average savings determined after benefits are applied. Available only through VSP network doctors to VSPmembers with applicable plan benefits. Ask your VSP network doctor for details.
5 2018 vision Service Plan. All rights , VSP vision care for life, , and WellVision Exam are registered trademarks, and "Life is better in focus." is a trademark of vision Service Plan. Flexon is a registered trademark of MarchonEyewear, Inc. All other company names and brands are trademarks or registered trademarks of their respective owners.