Vision
Hawaii residents
VSP Providers
Vision coverage is provided by VSP as described in this section. When you use VSP providers, vision benefits include the following:
- $15 copay applies to exam and glasses
- One routine eye exam every 12 months
- One pair of standard types of lenses every 12 months (progressives may be an upgrade)
- One pair of standard frames every 24 months from VSP providers, up to $180 from VSP doctors and up to $100 at Costco
- One pair of contacts in lieu of lenses and frames every 12 months
- Exams as often as needed to diagnose eye pain and sudden vision changes, monitor cataracts, and treat glaucoma ($5 copay per visit)
- Discounts on certain lens upgrades and frames above the plan allowance
- Discounts on annual purchases of certain brands of contact lenses, as well as additional services for wearers of soft contact lenses
- If you or your enrolled family members don't need corrective eyewear, you can use your frame benefit to purchase non-prescription sunglasses. You'll receive the same discounts that are available for prescription eyewear when you purchase sunglasses from VSP doctors
- No claim forms
To find a VSP provider, visit VSP's website or call VSP at 800-877-7195. Tell your doctor that you are a VSP member when you schedule your first appointment. Your VSP provider will handle all the necessary paperwork.
For details, please see vision plan benefits on the Health Care Program Comparison.
Additional VSP discounts
- Discounts on certain lens upgrades and frames above the plan allowance
- Discounts on additional glasses and sunglasses beyond your VSP benefit
- Discounts on annual purchases of certain brands of contact lenses, as well as additional services for wearers of soft contact lenses
- Laser vision discounts from contracted facilities
Non-VSP providers
If you go to a non-VSP doctor, you generally pay for the exam and materials and then file a claim for reimbursement. The plan reimburses you up to specific dollar limits. The online claim form for non-VSP reimbursements is available at VSP's website. Include dates of service, itemized receipts, and the name, address, and phone number of your non-VSP provider. Send claims to VSP at P.O. Box 997105, Sacramento, CA 95899.
If you live in Hawaii, you automatically have vision coverage through your elected HMSA medical plan and the VSP plan described above. HMSA vision benefits depend on the HMSA medical plan you elected as described in the following booklets:
For more information
See the health care comparison for a summary of these benefits
Visit VSP to locate VSP providers
Review the Vision summary plan description for more information about these benefits