Benefits

Vision Insurance

Provider

VSP

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VSP Choice Network
1-800-877-7195

WoodmenLife Associates at the Gym

Plan Coverage

  VSP
Benefit Summary In-Network Out-of-Network
Eye Exam (not including contact exam)  $15 Copay Reimbursed up to $45
Frames 100% covered, $170 Benefit Max Reimbursed up to $70
Lenses
Single Vision $35 Copay Reimbursed up to $30
Bifocal Lined $35 Copay Reimbursed up to $50
Trifocal Lined $35 Copay Reimbursed up to $65
Lens Options
Anti-Reflective Coating 100% Covered Not Covered
Blended Lenses 100% Covered Reimbursed up to $50
Progressive Lenses 100% Covered Reimbursed up to $50
Tinted/Photochromic 100% Covered Not Covered
Contacts
(instead of frames and lenses)
100% Covered, $170 Benefit Max Reimbursed up to $105
Contact Lens Exam Up to $60 copay Not Covered
  VSP
Benefit Summary In-Network Out-of-Network
Eye Exam (not including contact exam)  $15 Copay Reimbursed up to $45
Frames 100% covered, $170 Benefit Max Reimbursed up to $70
Lenses
Single Vision $35 Copay Reimbursed up to $30
Bifocal Lined $35 Copay Reimbursed up to $50
Trifocal Lined $35 Copay Reimbursed up to $65
Lens Options
Anti-Reflective Coating 100% Covered Not Covered
Blended Lenses 100% Covered Reimbursed up to $50
Progressive Lenses 100% Covered Reimbursed up to $50
Tinted/Photochromic 100% Covered Not Covered
Contacts
(instead of frames and lenses)
100% Covered, $170 Benefit Max Reimbursed up to $105
Contact Lens Exam Up to $60 copay Not Covered

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Benefit Frequency

The exam, frames and lenses are available every 12 months, starting wiith the first date of service.

No ID Cards

An ID card isn’t required to receive services. Simply call a VSP provider to schedule an appoinment and tell them you are a VSP member. The provider and VSP will handle the rest. If you would like an ID card, log on to VSP.com or the VSP app to access.