More Coverage of Non-Routine Eye Care Services Now Included With Vision Benefits

Beginning July 1, 2022, the Health Plan’s vision benefit will cover more non-routine eyecare services.

VSP’s new Essential Medical Eye Care program (which expands on and replaces the Diabetic Eyecare Plus program) will cover additional exams and services to treat more immediate issues (such as pink eye and sudden changes in vision), as well as monitor ongoing conditions (such as dry eye, diabetic eye disease and glaucoma).

The expanded services will be covered under the same $20 per visit co-payment as the previous Diabetic Eyecare Plus program and will supplement vision services covered under the Health Plan’s medical benefit, which typically covers certain surgical procedures and vision therapies.

Examples of Additional Conditions Covered Under the Essential Medical Eye Care Program

• Redness;
• Itchiness;
• Watery eyes;
• Swollen eyelids;
• Discomfort or pain; and
• Recent onset of flashes and floaters.

The chart below lists the full range of services covered under the Essential Medical Eye Care program.

For more information, visit www.vsp.com, log onto the VSP mobile app, or call VSP Member Services at (800) 428-4833.