Washington County VSP Plan · vsp.com • You may pay more out-of-pocket if you choose to see and out-of-network provider • Log in to vsp.com to see if your plan offers out-of-network

VSP Proprietary & Confidential

January 1, 2017

Washington County VSP Plan


Overview

• About VSP®

• Your plan – Exam – Glasses – Contacts

• Savings • Providers

– VSP doctors/Retail chains – Retail chains

• How to use your benefits

VSP Proprietary & Confidential VSP Proprietary & Confidential

About VSP Vision Care


About VSP

The only national not-for-profit vision

insurance company1

1. VSP insurance plans have exclusions and limitations. For costs and complete details of the coverage, contact VSP at 800.877.7195. 2. Blueocean Market Intelligence National Vision Plan Member research, 2014.

60 years of helping people see well and

stay healthy

Nationwide network of more than 77,000

access points

74 million members

nationwide

VSP is consumers’ #1 choice in vision care2


Your Plan VSP Proprietary & Confidential


Prescription Glasses

• Wellvision Exam $5 copay every calendar year • Prescription glasses, covered after a

$ 5 copay (combined with exam copay) • Lenses every calendar year

- Single vision, lined bifocal, and lined trifocal - Shatter-resistant polycarbonate lenses for children

• Frame every calendar year - $150 standard allowance or $80 equivalent frame

allowance at Costco Optical - 20% savings on the amount above your allowance - Extra $20 toward your allowance when you choose

a featured frame brand* - To find a wide selection of featured brands, visit

vsp.com and look for the *Brands/promotion subject to change


Featured Frame Brands

Anne Klein bebe® Calvin Klein Flexon® Lacoste Nautica Nike Nine West And more!

Visit vsp.com/special offers to view all featured frame brands, and enjoy shopping online at eyeconic.com.


Contacts

• Choose contacts instead of glasses every calendar year

• No more than $60 copay for your contact

lens exam (fitting and evaluation) • $150 allowance for contact lenses • Apply your materials allowance toward

the purchase of any contact lens brand of your choice

• Save even more on contact lenses when you visit a practice participating in VSP’s


Savings VSP Proprietary & Confidential


Exclusive Member Extras

• Exclusive offers from leading industry brands for VSP members only

• More than $2,500 in savings on:

- Glasses and sunglasses - Contact lenses - LASIK - Hearing aids - Much more

• Visit vsp.com/specialoffers • Shop eyeconic.com


Providers VSP Proprietary & Confidential


• VSP doctors and retail chains that participate in the VSP network

• Wide selection of designer frames • WellVision Exams that can detect signs of;

- Diabetes - High blood pressure - Hypertension

• Eye care and eyewear in one location

VSP Providers

Your benefits with a VSP provider include more than the basics—and at a great price. They include:


Out-of-Network Providers

• Choose to see a VSP network provider or an

out-of-network provider • Most out-of-network providers will file the claim for you, or

you can easily do it yourself on vsp.com

• You may pay more out-of-pocket if you choose to see and out-of-network provider

• Log in to vsp.com to see if your plan offers

out-of-network coverage *Based on applicable laws, benefits may vary by location.

As a member, enjoy using your VSP benefits at any location—even providers outside of the VSP network.


Out-of-Network Schedule of Allowance

Allowance at Non-VSP Providers $5 Copay applies

Exam $45

Single Vision Lenses $30

Lined Bifocals $50 Lined Trifocals $65 Progressives $50 Frame $70

Elective Contacts $105


How to Use Your Benefit



Using your benefit is easy.

• Create an account at vsp.com - Once your plan is effective, review

your benefit information

• Find an eye care provider who’s right for you

- To find a VSP provider, visit vsp.com 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 vsp.com


We’re here for you.

• Create an account and/or log in to vsp.com: - View your benefits information - Find a VSP network provider - Get eye care and eyewear information - Check out special offers and savings

• Call VSP Member Services at 800.877.7195. - Monday – Friday, 5 a.m. - 8 p.m., Pacific Time - Saturday, 7 a.m. - 8 p.m., Pacific Time - Sunday, 7 a.m. - 7 p.m., Pacific Time

VSP Proprietary & Confidential ©2015 Vision Service Plan. All rights reserved.

Enroll today!

Get complete coverage and quality care at a great value.

©2015 Vision Service Plan. All rights reserved. VSP and WellVision Exam are registered trademarks of Vision Service Plan. Flexon is a registered trademark of Marchon Eyewear, Inc. All other brands or marks are trademarks or registered trademarks of their respective owners.

Documents

Washington County VSP Plan · vsp.com • You may pay more out-of-pocket if you choose to see and out-of-network provider • Log in to vsp.com to see if your plan offers out-of-network