Pdf life is better in focus tm

Pdf File 105.61 KByte, 2 Pages

Life is better in

focusT.M

Get access to the best in eye care and eyewear with MT. DIABLO UNIFIED SCHOOL DISTRICT and VSP? Vision Care.

As a VSP member, you have access to care from great eye doctors, quality eyewear, and the affordability you deserve, all at low out-of-pocket costs.

You'll like what you see with VSP.

Value and Savings. You'll enjoy more value and low out-of-pocket costs.

High Quality Vision Care. You'll get great care from a VSP network doctor, including a WellVision Exam?--a comprehensive exam designed to detect eye and health conditions.

Choice of Providers. The decision is yours to make--with the largest national network of private-practice doctors, plus participating retail chains, it's easy to find the in-network doctor who's right for you.

Great Eyewear. It's easy to find the perfect frame at a price that fits your budget.

Using your VSP benefit is easy.

Create an account at . Once your plan is effective, review your benefit information.

Find an eye doctor who's right for you. Visit or call 800.877.7195.

At your appointment, tell them you have VSP. There's no ID card necessary. If you'd like a card as a reference, you can print one on .

That's it! We'll handle the rest--there are no claim forms to complete when you see a VSP provider.

Choice in Eyewear

From classic styles to the latest designer frames, you'll find hundreds of options. Choose from featured frame brands like bebe, CALVIN KLEIN, Cole Haan, Flexon?, Lacoste, Nike, Nine West, and more.1 Visit to find a Premier Program location that carries these brands. Plus, save up to 40% on popular lens enhancements.2 Prefer to shop online? Check out all of the brands at ?, VSP's preferred online eyewear store.

See why we're consumers' #1 choice in vision care3.

Contact us. 800.877.7195

Your VSP Vision Benefits Summary

MT. DIABLO UNIFIED SCHOOL DISTRICT and VSP provide you with an affordable eyecare plan.

VSP Coverage Effective Date: 01/01/2019

Benefit

Description

Your Coverage with a VSP Provider

WellVision Exam

Focuses on your eyes and overall wellness

VSP Provider Network: VSP Signature

Copay

Frequency

$20 for exam and glasses

Every 12 months

Prescription Glasses Frame Lenses Lens Enhancements

$150 allowance for a wide selection of frames $170 allowance for featured frame brands 20% savings on the amount over your allowance $80 Costco? frame allowance

Single vision, lined bifocal, and lined trifocal lenses Polycarbonate lenses for dependent children

Standard progressive lenses Premium progressive lenses Custom progressive lenses Average savings of 35-40% on other lens enhancements

Combined with exam

Combined with exam $0

$80 - $90 $120 - $160

Every 24 months Every 12 months Every 12 months

Contacts (instead of glasses)

$150 allowance for contacts and contact lens exam (fitting and evaluation) 15% savings on a contact lens exam (fitting and evaluation)

$0

Every 12 months

Primary Eyecare

Treatment and diagnosis of eye conditions like pink eye, vision loss

and monitoring of cataracts, glaucoma and diabetic retinopathy. Limitations and coordination with medical coverage may apply. Ask

$5

your VSP doctor for details.

As needed

Extra Savings

Glasses and Sunglasses Extra $20 to spend on featured frame brands. Go to specialoffers for details. 30% savings on additional glasses and sunglasses, including lens enhancements, from the same VSP provider on the same day as your WellVision Exam. Or get 20% from any VSP provider within 12 months of your last WellVision Exam.

Retinal Screening No more than a $39 copay on routine retinal screening as an enhancement to a WellVision Exam

Laser Vision Correction Average 15% off the regular price or 5% off the promotional price; discounts only available from contracted facilities After surgery, use your frame allowance (if eligible) for sunglasses from any VSP doctor

Your Coverage with Out-of-Network Providers

Get the most out of your benefits and greater savings with a VSP network doctor. Call Member Services for out-of-network plan details.

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 this information 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 business.

Contact us. 800.877.7195 |

1. Brands/Promotion subject to change. 2. 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 VSP members with applicable plan benefits. Ask your VSP network doctor for details. 3. 2017 National Vision Plan Member Research.

?2018 Vision Service Plan. All rights reserved. VSP, 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 Marchon Eyewear, Inc. All other company names and brands are trademarks or registered trademarks of their respective owners.

Download Pdf File