VISION

VISION

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2025 Vision Benefit Summary

VSP - Browse with Benefit

VSP - Essential Medical Eye Care

VSP - Exclusive Extras

VSP - Keep Your Eyes Healthy for Life

VSP - Premier Edge Promise

VSP - TruHearing

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Vision Insurance

VSP – Group #30023867

Our Vision Plan

Hudson City School District offers vision coverage through VSP Vision Care. Below are the vision benefits that are offered to you and your family.

VSP Vision Summary

Benefit	Description	Copay	Frequency
Wellvision Exam	Focuses on your eyes and overall wellness Routine retinal screening	$10 up to $39	Every calendar year
Essential Medical Eye Care	Retinal imaging for members with diabetes covered-in-full Additional exams and services beyond routine care to treat immediate issues from pink eye to sudden changes in vision or to monitor ongoing conditions such as dry eye, diabetic eye disease, glaucoma, and more. Coordination with your medical coverage may apply. Ask your VSP network doctor for details.	$20 per exam	Available as needed
Prescription Glasses
Frames	$150 Featured Frame Brands allowance $130 frame allowance 20% savings on the amount over your allowance $70 Costco frame allowance	Included in Prescription Glasses	Every other calendar year
Lenses	Single vision, lined bifocal, and lined trifocal lenses Impact-resistant lenses for dependent children	Included in Prescription Glasses	Every calendar Year
Lens Enhancements	Standard progressive lenses Premium progressive lenses Custom progressive lenses Average savings of 30% on other lens enhancements	$0 $95-105 $150-$175	Every calendar year
Contacts (Instead of Glasses)	$130 allowance for contacts; copay does not apply Contact lens exam (fitting and evaluation)	Up to $60	Every calendar year
Additional Savings	Glasses and Sunglasses Discover all current eyewear offers and savings at vsp.com/offers. 20% savings on unlimited additional pairs of prescription or non-prescription glasses/sunglasses, including lens enhancements, from a VSP provider within 12 months of your last WellVision Exam. Laser Vision Correction Average of 15% off the regular price; discounts available at contracted facilities. Exclusive Member Extras for VSP Members Contact lens rebates, lens satisfaction guarantees, and more offers at vsp.com/offers. Save up to 60% on digital hearing aids with TruHearing®. Visit vsp.com/offers/special-offers/hearing-aids for details. Enjoy everyday savings on health, wellness, and more with VSP Simple Values.

Coverage with an Out-of-Network Provider
With so many in-network choices, VSP makes it easy to get the most out of your benefits. You’ll have access to preferred private practice, retail, and online in-network choices. Log in to vsp.com to find an in-network provider. Your plan provides the following out-of-network reimbursements:
Exam ………………………………….up to $45 Frame ………………………………..up to $70 Single Vision Lenses……………up to $30	Lined Bifocal Lenses ……………….up to $50 Lined Trifocal Lenses ……………..up to $65	Progressive Lenses ……….up to $50 Contacts …………………….up to $105