Elite plan

 Request rates for 2-50 enrolled employees

 Request a quote for 51+ enrolled employees

Questions?
Contact your Sales Executive or call 800-624-2633.
 

In-network coverage

   
Exam/Lens/Frame frequency (Months) 12/12/12
Contacts frequency (in lieu of glasses) 12
Exam copay $0
Materials copy $0
Frame allowance

$175 - (Includes Walmart/Sam's Club)1
$95 - Costco®1
Elective contact lens allowance $150
Necessary contact lenses Covered in full after copay
Contact lens fit/Eval copay  Up to $60
Both glasses and contacts in same year (in-network and out-of-network)  No (allows contacts instead of frames)
Computer VisionCareSM $90 retail frame allowance (in addition to the standard frame allowance)  
LightCare Enhancement $175 frame allowance can be applied to non-prescription sunglasses or blue light-filtering glasses (instead of prescription glasses or contacts)

Out-of-network allowances (in addition to in-network copays)

Benefits Member cost
Examination; up to: Up to $45
Single vision lenses; up to: Up to $30
Bifocal lenses; up to: Up to $50
Trifocal lenses; up to: Up to $65
Progressive lenses; up to: Up to $50
Lenticular lenses; up to: Up to $100
Frames; up to: Up to $70
Elective contact lenses; up to: Up to $105
Necessary contact lenses; up to: Up to $210
Computer VisionCareSM  Up to $45 (in addition to the standard frame allowance) 

Lens enhancements1

Benefits Member cost
Anti-glare coating $41 single
$41 multifocal
Impact-resistant lenses $35 single
$35 multifocal (covered for children)
Progressive lenses Standard progressive lenses are covered
Light-reactive lenses $75 single vision
$75 multifocal
Scratch-resistant coating $17 single vision
$17 multifocal

Additional savings

Benefits Plan details
Frames discount over allowance3 An extra $20 allowance on Featured Frame Brands.4 20% savings on any amount above the retail allowance.
Additional pair3 20% savings on unlimited additional pairs of prescription glasses and/or non-prescription sunglasses from any VSP network provider within 12 months of exam.
LASIK3 Average 15% off the regular price, or 5% off the promotional price; discounts only available from contracted facilities.
Retinal screening3 Routine retinal screening covered for a maximum fee of $39.
Lens coverage3 Glass or plastic single vision, lined bifocal, lined trifocal, or lenticular lenses are covered in full5.
Essential Medical Eye Care
  • Retinal imaging for members with diabetes covered-in-full.
  • Additional exams and services beyond routine care to treat immediate issues such as pink eye or to monitor ongoing conditions like high blood pressure, diabetes, and more. Coordination with your medical coverage may apply.
  • Ask your VSP network doctor for details. Available as needed. $20 per exam.
 Low vision
  •  Pre-approved low vision supplemental testing covered every two years.
  • 75% coverage for approved low vision aids, up to $1,000 (less any amount paid for supplemental testing) every two years.
Eyeconic®3  Go to Eyeconic.com for an easy-to-use, convenient online eyewear option.
TruHearing®3  Save up to 60% on hearing aids and batteries. Visit TruHearing.com/VSP or call 1-877-396-7194 for more information.6

Disclaimers and Exclusions.


  • 1 In-network status of the optometrist performing the exam may vary at participating retail chains. Please contact VSP and/or the optometrist at the retail location to verify network participation status before receiving services.
  • 2 Prices shown reflect the standard plastic price for each respective category. Premium lens enhancement prices may vary. Prices may vary and are valid only through VSP Choice Network Providers and are subject to change without notice.
  • 3 In-network only.
  • 4 Frame brands and promotion subject to change. Only available to VSP members with applicable plan benefits. Only available at in-network locations. Members who participate in a Medicaid/state-funded plan are not eligible.
  • 5 Covered-in-full materials and services are less any applicable copay. Based on applicable laws, benefits and savings may vary by location. Benefits may also vary at participating retail chains. Promotions like rebates are continually evaluated and subject to change without notice. In the state of Washington, VSP Vision Care, Inc., is the legal name of the corporation through which VSP does business.
  • Promotions and Featured Frame Brands do not apply at Costco® Optical, Walmart, Sam’s Club and other participating retail chains.

    In-network status of the optometrist performing the exam may vary at participating retail chains. Please contact VSP and/ or the optometrist at the retail location to verify network participation status before receiving services.

    The following items are excluded under this plan: plano lenses (lenses with refractive correction of less than ± .50 diopter); two pairs of glasses instead of bifocals; replacement of lenses, frames, or contacts; medical or surgical treatment; orthoptics; vision training or supplemental testing.
  • 6 VSP is providing information to its members, but does not offer or provide any discount hearing program. VSP makes no endorsement, representations or warranties regarding any products or services offered by TruHearing®, a third-party vendor. TruHearing is not insurance and not subject to state insurance regulations. For additional information, please visit vsp.com/offers/special-offers/hearing-aids/truhearing. For questions, contact TruHearing directly. Not available directly
    from VSP in the states of Washington and California.

Eyeconic® is a VSP-affiliated company.
©2026 Vision Service Plan. All rights reserved.
VSP and Eyeconic® are registered trademarks of Vision Service Plan. All other brands or marks are the property of their
respective owners.

Complete details of your program appear in the group contract between your plan sponsor and Delta Dental of Connecticut, Inc., which governs the benefits and operation of your program. The group contract would control if there should be any inconsistency or difference between its provisions and the information in this document. Claims processing, claims service, and provider network administration for DeltaVision® are provided under contract by VSP. DeltaVision® and Delta Dental are registered trademarks of the Delta Dental Plans Association.

DeltaVision® insurance plans are underwritten by Delta Dental of Connecticut, Inc. VSP, Inc. performs claims processing, customer service, and provider network administration for DeltaVision® products. Delta Dental of Connecticut, Inc. is a licensed insurer in Connecticut that markets and sells dental and vision coverage on an insured basis in that state and is licensed in New Jersey to market and sell vision coverage. Its ultimate parent company, Delta Dental of New Jersey, Inc., is a licensed dental service corporation in the State of New Jersey.