Product Detail
Vision Coverage
DeltaVision - VSP
- Significant out-of-pocket savings available with your Delta VSP plan by visiting one of VSP’s network locations
- Copays apply for exams and materials
- Medically necessary contact lenses covered in full
- Savings on additional eyewear and laser vision correction
- Allowances for out-of-network-services
Click here for Delta VSP Brochure
Benefit Features:
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Your Network is |
VSP Choice Network |
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Copay |
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Exams Copay |
$10 (in-network - once every 12 months) |
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Sample of Covered Services |
You pay (after copay if applicable): |
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In-Network |
Out-of-network |
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Eye Exams |
$10 |
$45 allowance |
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Single Lenses |
$25 |
$30 allowance |
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Bifocal Lenses |
$25 |
$50 allowance |
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Trifocal Lenses |
$25 |
$65 allowance |
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Frames |
$130 allowance ($70 allowance at Walmart/Costco) |
$70 allowance |
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Contact Fitting & Evaluation |
$60 copay maximum |
Applied to contact lens allowance |
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Elective disposable |
$130 allowance |
$105 allowance |
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Non-elective (medically necessary) |
Covered 100% after copay |
$210 allowance |
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Service Frequencies |
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Exams |
Every calendar year |
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Lenses (for glasses or contacts)* |
Every calendar year |
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Frames |
Every two calendar years**** |
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To locate providers, call 1.800.877.7195 or visit https://www.vsp.com/eye-doctor then follow the prompts to search for an eye doctor by location, office or specific doctor then click "SEARCH"
