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PROPRIETARY AND CONFIDENTIAL | 1PROPRIETARY AND CONFIDENTIAL | 1
County of Santa Clara
YOUR VSP
VISION BENEFITSMEMBERS FIRST,
MEMBERS FOR LIFE
PROPRIETARY AND CONFIDENTIAL | 2PROPRIETARY AND CONFIDENTIAL | 2
VSP PLAN AT A GLANCE
County of Santa Clara’s
VSP Choice Plan
Copays $20 Exam Copay and $20 Copay for Prescription Glasses
Exam WellVision Exam covered every 12 months
Frame Allowance $120 frame allowance every 24 months
LensesPolycarbonate lenses for dependent children along with single vision, lined bifocal and lined trifocal lenses
covered in full every 12 months
Lens EnhancementsStandard Progressives covered with $0 Copay
Savings on other lens enhancements of 20-25%
Contact Lens Allowance
(in lieu of glasses)$120 allowance for contact lenses. Up to $60 Copay for contact lens exam (fitting and evaluation)
Diabetic EyeCare PlusServices related to diabetic eye disease, glaucoma and age-related macular degeneration (AMD)
$20 Copay per visit
Retinal Screening No more than a $39 Copay on routine retinal screening as an enhancement to a WellVision Exam.
Extra Savings
• Extra $20 to spend on featured frame brands. 20% savings on additional glasses and sunglasses, including lens
enhancements, from any VSP provider within 12 months of your last WellVision Exam.
• No more than a $39 copay on routine retinal screening as an enhancement to a WellVision Exam
• Laser Vision Correction: Average 15% off the regular price or 5% off the promotional price; discounts are
available from contracted facilities.
PROPRIETARY AND CONFIDENTIAL | 3PROPRIETARY AND CONFIDENTIAL | 3
BIG VALUE. MORE SAVINGS WITH VSP
VISION CARE.VSP puts members first by providing exclusive special offers from leading
industry brands. View Bonus Offers at vsp.com/offers
Special Deals: Extra $20 on Featured Frame Brands
and save up to 60% on Brand-name Hearing Aids from
TruHearing®
Premier Program locations offer:
• Access to exclusive Bonus Offers
• A wide selection of featured frame brands
• Eyewear protection warranty
• The latest in performance lenses
Eyeconic is the only place where VSP
members can shop online for contacts and
eyewear with their VSP insurance in network
Once you’re enrolled…
• Create an account at vsp.com and review your benefit information
• Find a VSP in-network doctor by visiting vsp.com or calling 800.877.7195
• No ID card needed, at your appointment, simply tell them you have VSP