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Plan Description


Copay

$10 Exam / $25 Materials per Covered Person per Office Visit


Benefit

Frequency


Exam:

Lenses:

Frame:

Every 12 months

Every 12 months

Every 24 months


Benefit

Participating Provider

Non-Participating Provider

WellVision Exam Contact Lens Exam

Covered after $10 Exam Copay 15% Savings on a contact lens exam

Up to $45 after $10 Exam Copay

Lenses:

Participating Provider

Non-Participating Provider

Single Vision

Covered after $25 materials Copay

Up to $30.00

Lined BiFocal

Covered after $25 materials Copay

Up to $50.00

Lined TriFocal

Covered after $25 materials Copay

Up to $65.00

Lenticular

Covered after $25 materials Copay

Up to $100.00

Impact-Resistant (polycarbonate) lenses for children

Fully covered with no Copay up to age 18


Frames

$150 allowance every 24 months

Up to $70.00 allowance every 24 months

Necessary Contact Lenses*

$150 allowance every 12 months

Up to $105.00 allowance every 12 months

Elective Contact Lenses*

N/A

N/A

Discounts & Savings

  • Average 20-25% savings on other lens enhancements

  • 20% off additional glasses and sunglasses, including lens enhancements, from any VSP doctor within 12 months of the patient's last WellVision Exam.

  • Extra $20 to $40 on featured frame brands. Brands and promotions subject to change.

  • Laser Vision Correction- Average 15% savings on the regular price or 5% savings on the promotional price from the contracted facilities.



(States FL, NY & OR)


Copay

$15 Exam / $25 Materials per Covered Person per Office Visit

Benefit

Frequency


Exam:

Lenses:

Frame:

Every 12 months

Every 12 months

Every 12 months

Benefit

Participating Provider

Non-Participating Provider

WellVision Exam Contact Lens Exam

Covered after $15 Exam Copay 15% Savings on a contact lens exam

Up to $45

Lenses:

Participating Provider

Non-Participating Provider

Single Vision

Covered after $25 materials Copay

Up to $30.00

Lined BiFocal

Covered after $25 materials Copay

Up to $50.00

Lined TriFocal

Covered after $25 materials Copay

Up to $65.00

Lenticular

Covered after $25 materials Copay

Up to $100.00

Impact-Resistant (polycarbonate) lenses for children

Fully covered with no Copay up to age 18


Frames

$120 allowance every 12 months

Up to $70.00 allowance every 12 months

Necessary Contact Lenses*

$120 allowance every 12 months

Up to $105.00 allowance every 12 months

Elective Contact Lenses*

N/A

N/A

Discounts & Savings

  • Average 20-25% savings on other lens enhancements.

  • 20% off additional glasses and sunglasses, including lens enhancements, from any VSP doctor within 12 months of the patient's last WellVision Exam.

  • Extra $20 to $40 on featured frame brands. Brands and promotions subject to change.

  • Laser Vision Correction- Average 15% savings on the regular price or 5% savings on the promotional price from the contracted facilities.

*Contact Lenses are provided in lieu of all other lens and frames once every 12 months.


TruHearing Has Merged With Sivantos | TripleTree

Save Up to 60% on Brand-name Hearing Aids
Like vision loss, hearing loss can have a huge impact on your quality of life. However, the cost of a pair of quality hearing aids usually costs more than $5,000, and few people have hearing aid insurance coverage.
TruHearing® makes hearing aids affordable by providing exclusive savings to all VSP® Vision Care members. You can save up to 60% on a pair of hearing aids with TruHearing. What’s more, your dependents and even extended family members are eligible, too.

In addition to great pricing, TruHearing provides you with:
Three provider visits for fitting and adjustments
45-day trial
Three-year manufacturer warranty for repairs and one-time loss and damage replacement

48 free batteries per hearing aid

Learn more about this VSP Exclusive Member Extra at truhearing.com/vsp or call 877.396.7194 with questions.
VSP is providing information to its members, but does not offer or provide any discount hearing program. The relationship between VSP and TruHearing is that of independent contractors. VSP makes no endorsement, representations or warranties regarding any products or services offered by TruHearing, a third-party vendor. The vendor is solely responsible for the products or services offered by them. If you have any questions regarding the services offered here, you should contact the vendor directly. TruHearing offers individuals the opportunity to purchase hearing aids at discounted prices, including individuals covered by self-funded health plans not subject to state insurance or health plan regulations. TruHearing is not insurance and not subject to state insurance regulations. TruHearing provides discounts to certain health care groups for hearing aid sales and services; TruHearing provides fitting, programming and three adjustment visits at no cost; the member is obligated to pay for testing, and all post-fitting hearing care services, but will receive a discount from those health care providers who have contracted with TruHearing. Not available directly from VSP in the states of Washington and California.

Products are not available in all states. Please call 800-979-8266 to verify current state availability.
Underwritten by VSP Vision Care.



HCP Cure Blindness | Healthy Vision Association (HVA)

The Healthy Vision Association is dedicated to helping its members see well and be healthy by providing access that might not be available through employers to products, services and information that promote vision and overall health.
As a Healthy Vision Association member, you’ll enjoy discounts and savings on health, travel and other services that can save you hundreds of dollars each year. And, you’ll have the opportunity to enroll in premium vision plans offered by VSP® Vision Care to Association members (plans offered may vary by state).


As A Member You’ll Have Access To Exclusive Discount Programs.
Save on everyday goods and services, while supporting vision-related charities, too.

Car Rental Discounts
Receive special member discount rental rates from: Hertz®, Dollar Car Rental™, and Thrifty Car Rental®

Choice Hotels
Save up to 15% when booking your next overnight stay away at select hotels.

TicketsatWork
Access to 20 – 60% off on movies, hotels, shows, concerts, sporting events and more.

TrueCar Buying Network
Members enjoy access to a dealer network offering discounts on auto purchases.

Office Depot
Receive 15% off Hundreds of Office Supplies.

UPS Express Delivery Services
Members receive various discounts on UPS delivery services.

For a complete list of discount programs, please visit HealthyVisionAssociation.com


Products are not available in all states. Please call 800-979-8266 to verify current state availabili-
Underwritten by VSP Vision Care.






Does my vision plan have any waiting periods?
There are NO WAITING PERIODS! All benefits begin on your effective date.

Who is eligible to purchase the plan?
The insurance coverage is available in states where it’s approved to anyone age 18 and older. You can request coverage for your dependents; dependent eligibility varies based on State law.

Can I purchase a vision plan if my employer or health plan does not provide one?
Yes, anyone can take advantage of the VSP Extend Plan.

Do I have coverage if I travel outside of the State I live in?
Yes.

What if I want to cancel the policy?
NCD Agency, LLC (California DBA: Dental and Vision Insurance Agency) 1201 N. Riverfront Rd. Suite 150
Dallas, TX 75207


All Cancellation requests will be effective on the next billing period.

Products are not available in all states. Please call 800-979-8266 to verify current state availability.
Underwritten by VSP Vision Care.


How do I submit claims?
In-network
Using your VSP benefit is easy. Create an account at vsp.com. Once your annual plan is effective, review your benefit information.
Find a VSP network doctor who’s right for you. To find a doctor, visit vsp.com. Choose a Premier Program location to get the most out of your eye care benefits.

At your appointment, tell them you have VSP. There’s no ID card necessary.

That’s it! We’ll handle the rest—there are no claim forms to complete.

Out-of-network
Note: If you choose to see an out-of-network provider, you’ll receive less coverage. Payment is expected at the time of your visit. Following your appointment, you’ll need to complete a claim form and include any itemized receipts. You can complete and submit the form on vsp.com or call 800.877.7195 to request a hard copy form. Address to Vision Service Plan, Attention: Claim Services,
P.O. Box 385018, Birmingham, AL 35238-5018. Out-of-network coverage is not available in the states of Massachusetts and Washington, and coverage varies in the state of Maryland.

Products are not available in all states. Please call 800-979-8266 to verify current state availabili-
Underwritten by VSP Vision Care.






Dollar on Hand
Access to the insurance plans and large group pricing on this website is predicated upon joining Elevate Wellness, a national association with over 100,000 members.
Click here to Learn more

Questions? Call 201-482-9700
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