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Vision - Compare Options

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This Vision Plan Comparison Chart includes the coverage levels for commonly used services. This comparison chart does not reflect all vision plan services, exclusions, limitations, or restrictions. It is not considered a contract or guarantee of coverage under the Plans. Refer to the Summary Plan Document located at www.oraclebenefits.com for more details on Plan provisions and limitations.

Select up to 2 plans to compare

Vision Plan I
VSP
Vision Plan II
VSP
Annual Co-Payment
Network:
Annual $10 co-payment applicable to exam, frame, or lenses
Non-Network:
Annual $10 co-payment applicable to exam, frame, or lenses
Network:
Annual $10 co-payment applicable to exam, frame, or lenses. Additional $10 co-payment collected for 2nd Pair Benefit
Non-Network:
Annual $10 co-payment applicable to exam, frame, or lenses. Additional $10 co-payment collected for 2nd Pair Benefit
Service Allowances
Network:
Not Covered
Non-Network:
All allowances are provided once every calendar year
Network:
Not Covered
Non-Network:
All allowances (except the exam allowance which is provided once every calendar year) are provided twice every calendar year
Annual Routine Eye Examination
Network:
100% (after annual co-payment)
Non-Network:
Up to $50 after $10 Annual co-payment. Co-payment applies to exam, frame or lenses
Network:
100% (after annual co-payment)
Non-Network:
Up to $50 after $10 Annual co-payment. Co-payment applies to exam, frame or lenses
Retinal Screening
Network:
100% after $20 co-payment
Non-Network:
Not Covered
Network:
100% after $20 co-payment
Non-Network:
Not Covered
Diabetic Eye Care
Network:
100% after $20 co-payment
Non-Network:
Not Covered
Network:
100% after $20 co-payment
Non-Network:
Not Covered
Glasses
Lenses (One Pair)
Network:
Single vision, lined bifocal and lined trifocal lenses covered 100% each calendar year
Non-Network:
Single Lenses - $50
Bifocal Lenses - $75
Trifocal Lenses - $100
Lenticular Lenses - $125
Network:
Single vision, lined bifocal and lined trifocal lenses covered 100% each calendar year
Non-Network:
Single Lenses - $50
Bifocal Lenses - $75
Trifocal Lenses - $100
Lenticular Lenses - $125
Frames (One Pair)
Network:
Covered up to $150 each calendar year
Non-Network:
Covered up to $70
Network:
Covered up to $200 each calendar year
Non-Network:
Covered up to $70
Tinted & Ultraviolet (UV) Protected Lenses
Network:
100%
Non-Network:
Covered up to $5
Network:
100%
Non-Network:
Covered up to $5
Standard Progressive Lenses
Network:
100%
Non-Network:
Plan pays up to $75
Network:
100%
Non-Network:
Plan pays up to $75
Contact Lenses (In Lieu of Frames and Lenses)
Medically Necessary
Network:
100%
Non-Network:
$210 allowance
Network:
100%
Non-Network:
$210 allowance
Elective
Network:
$250 allowance
Non-Network:
$175 allowance
Network:
$300 allowance
Non-Network:
$200 allowance
Additional Pair and Discount Programs
2nd Pair Benefit
Network:
Not Applicable
Members are eligible for special discounts
Non-Network:
Not Covered
Network:
Annual $10 co-payment applicable to frame or lenses, Coverage provides a second pair of frames and lenses OR contact lenses subject to the same benefits as described above.
Non-Network:
Covered up to the scheduled allowance
VSP Discount Programs
Network:
https://www.vsp.com/optical-discounts.html
Non-Network:
Not Applicable
Network:
https://www.vsp.com/optical-discounts.html
Non-Network:
Not Applicable

This Vision Plan Comparison includes the coverage levels for commonly used services. This comparison chart does not reflect all vision plan services, exclusions, limitations, or restrictions. It is not considered a contract or guarantee of coverage under Plans. Refer to the Summary Plan Document located at www.oraclebenefits.com for more details on Plan provisions and limitations.

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