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Vision Benefits
Providence Individual and Family Plans has partnered with VSP to provide routine vision services as part of our covered benefits on our Optimum, Value and HSA plans. Vision benefits do not apply to your deductible, out-of-pocket maximum or lifetime maximum.
To find a VSP Select participating provider, visit www.vsp.com/select or contact VSP Member Services at 1-800-877-7195.
Vision benefits include:
Routine Vision Exam (covered once per 12 months)
- In Plan: $30 copay, Out-of-Plan: covered up to $29
Frames (covered once per 24 months)
- In Plan: covered up to $80, Out-of-Plan: covered up to $33
Basic Lenses (covered once per 24 months)
- Single, In Plan: covered in full, Out-of-Plan: covered up to $28
- Bifocal, In Plan: covered in full, Out-of-Plan: covered up to $42
- Trifocal, In Plan: covered in full, Out-of-Plan: covered up to $56
Contact lenses (covered once per 24 months in lieu of a complete pair of glasses)
- In Plan: covered up to $80, Out-of-Plan: covered up to $65
- 15% off contact lens exam (fitting and evaluation)
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