A Look At Your VSP Vision Coverage

A Look

At Your VSP

Vision Coverage

With VSP and SYRACUSE UNIVERSITY,

your health comes first.

As a member, you’ll get access to savings

and personalized vision care from a VSP

network doctor for you and your family.

Value and savings you love.

Save on eyewear and eye care when you see a VSP network

doctor. Plus, take advantage of Exclusive Member Extras

which provide offers from VSP and leading industry brands

totaling over $3,000 in savings.

Provider choices you want.

Maximize your benefits at a Premier Program

location, which is part of our incredible

network of doctors.

Shop online and connect your benefits.

Eyeconic® is the preferred VSP online retailer where

you can shop in-network with your vision benefits.

See your savings in real time when you shop over

70 brands of contacts, eyeglasses, and sunglasses.

Quality vision care you need.

You’ll get great care from a VSP network doctor, including

a WellVision Exam®. An annual eye exam not only helps you

see well, but helps a doctor detect signs of eye conditions

and health conditions, like diabetes and high blood pressure.

Using your benefit is easy!

Create an account on vsp.com to view your in-network

coverage, find the VSP network doctor who’s right for you,

and discover savings with Exclusive Member Extras. At your

appointment, just tell them you have VSP.

More Ways

to Save

Additional

$20

to spend on

Featured Frame Brands†

See all brands and offers

at vsp.com/offers.

Up to

40%

Savings on

lens enhancements‡

and more

Enroll through your employer today.

Your VSP Vision Benefits Summary

SYRACUSE UNIVERSITY and VSP provide you with an affordable

vision plan.

Provider Network:

VSP Choice

Effective Date:

01/01/2024

BENEFIT DESCRIPTION

COPAY FREQUENCY

COVERAGE WITH A VSP PROVIDER

WELLVISION

EXAM

• Focuses on your eyes and overall wellness $15 Every calendar year

ESSENTIAL

MEDICAL

EYE CARE

• Retinal screening for members with diabetes

• Additional exams and services beyond routine care to treat

immediate issues from pink eye to sudden changes in vision

or to monitor ongoing conditions such as dry eye, diabetic

eye disease, glaucoma, and more.

• Coordination with your medical coverage may apply.

Ask your VSP network doctor for details.

$0 per

screening

$20 per exam

Available

as needed

PRESCRIPTION GLASSES $25

FRAME

• $170 Featured Frame Brands allowance

• $150 frame allowance

• 20% savings on the amount over your allowance

• $150 Walmart®/Sam’s Club® frame allowance’

• $80 Costco® frame allowance

Included in

Prescription

Glasses

Every other

calendar year

LENSES

• Single vision, lined bifocal, and lined trifocal lenses

• Impact-resistant lenses for dependent children

Included in

Prescription

Glasses

Every

calendar year

LENS

ENHANCEMENTS

• Standard progressive lenses

• Premium progressive lenses

• Custom progressive lenses

• Average savings of 30% on other lens enhancements

$95 – $105

$150 – $175

Every

calendar year

CONTACTS

(INSTEAD OF

GLASSES)

• $150 allowance for contacts; copay does not apply

• Contact lens exam (fitting and evaluation)

Up to $60

Every

calendar year

EXTRA SAVINGS

Glasses and Sunglasses

• Extra 20% to spend on featured frame brands. Go to vsp.com/offers for details.

• 20% savings on additional glasses and sunglasses, including lens enhancements, from a VSP provider within

12 months of your last WellVision Exam.

Routine Retinal Screening

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

Laser Vision Correction

• Average of 15% off the regular price or 5% off the promotional price; discounts available from contracted facilities.

YOUR COVERAGE GOES FURTHER IN-NETWORK

With so many in-network choices, VSP makes it easy to get the most out of yoru benefits. You’ll have access to perferred private practices,

retail, and online in-network choices. Log in to vsp.com to find an in-network provider.

Classification: Restricted

†

Only available to VSP members with applicable plan benefits. Frame brands and promotions are subject to change.

‡

Savings based on doctor’s retail price and vary by plan and purchase selection; average savings determined after benefits are applied. Ask your VSP network doctor for more details.

Coverage with a retail chain may be different or not apply.

VSP guarantees member satisfaction from VSP providers only. 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. TruHearing is not available directly

from VSP in the states of California and Washington.

VSP, Eyeconic, and WellVision Exam are registered trademarks and VSP LightCare and VSP PremierMax are trademarks of Vision Service Plan. Flexon and Dragon are a registered trademark of Marchon Eyewear, Inc.

All other brands or marks are the property of their respective owners. 102898 VCCM