Vision Benefits Overview
For full details about the vision benefits available from the DGA–Producer Health Plan, refer to the March 2020 Health Plan Summary Plan Description, beginning on page 79.
Vision Provider Network
Vision Service Plan (VSP) is the Health Plan’s vision provider network.
For a list of network vision providers in your area, go to vsp.com or call (800) 877-7195.
Click here for a summary of your VSP vision benefits.
Below is a summary of vision benefits under the Health Plan.
| Service Frequency | Network Benefit | Non-Network Maximum Benefit* |
|
|---|---|---|---|
| Exams | Once per calendar year | $30 co-payment | $45 |
| Frames | Once every other calendar year | $220 allowance $240 allowance for featured frame brands |
$70 |
| Lenses | Once per calendar year | $200 allowance | Single Vision Lenses $30 Lined Bifocal Lenses $50 Lined Trifocal Lenses $65 Contact Lenses $105 per lens (elective) $210 per lens (medically necessary) |
*after deducting applicable network co-payment amount
You can obtain vision services from a non-VSP provider. However, you will have increased costs and will have to file a claim with VSP for reimbursement. See pages 80-81 of the March 2020 Health Plan Summary Plan Description for more information.
Where to Buy Glasses and Contact Lenses
You may use your VSP vision benefits toward the purchase of eyeglass lenses, frames, and contact lenses from VSP network or non-network providers, including retail, online and discount vendors.
You are encouraged to compare vendors to find the eyeglasses and/or contact lenses that best meet your needs and budget. Shopping online can yield the best pricing.
Be sure to refer to the chart above and the summary of benefits for information on allowances and maximum benefits available with network and non-network vision service providers.
VSP LASER VISIONCARE℠ PROGRAM
Through the VSP Laser VisionCare℠ Program, Health Plan participants with vision coverage can obtain special pricing on laser services and procedures from a VSP Laser VisionCare network doctor. The program covers visits to your network doctor before and after Laser procedures and offers discounted pricing on certain services.
Savings can total an average of 15% off the regular price or 5% off the promotional price of services at contracted facilities. For more information on how to use this benefit, click here.
TruHearing® Hearing Aid Discount Program (free to all VSP members)
In partnership with VSP, its TruHearing program can help make hearing aids affordable by providing exclusive savings to all VSP Vision Care members.
For more information on how to enroll in TruHearing MemberPlus, click here.
