icon of an eye

The Vision Service Plan’s (VSP) contracted providers include optometrists, ophthalmologists, opticians, as well as retail chain affiliate providers like Costco, Shopko, Visionworks, and other high quality retail chains. Your VSP coverage level must match your medical coverage either at the single, two party, or family level.

There are two coverage options to select from: Basic Coverage and Premier Coverage. Basic coverage simply covers glasses or contact lenses. Premiere covers glasses or contact lenses and the eye exam.

Keep in mind that DMBA medical plans include eye exam coverage for a $25 co-pay.

 VisionVision PLUS
Single $6.20 $8.90
Two Party $11.70 $17.60
Family $17.10 $26.30

*Premiere coverage includes a free eye exam each year.

For more detailed information, please refer to the Health Benefits Forms page.

Health Benefit Forms