Vision-VSP

Other Benefit Summaries:

Vision Service Plan (VSP) (for Blue Cross enrollees only) July 1, 2008 - July 1, 2009
Information provided is in summary format. Any difference between the summary provided and actual contract will be settled in favor of the contract.
	In-Network	Out-Of-Network
Vision Network:	VSP
Routine Vision Exam	$20 co-pay for PCP	$20 co-pay - 100% up to $20
Glasses or Contacts	$20 co-pay	$20 co-pay - up to restrictive schedule
Check Your Benefits	Click Here for information on the current status of your vision benefits, such as how much is available for vision hardware purchases and when your next exam will be covered.

*When you receive services from a VSP participating doctor or optometrist your only expense is for

the co-payment and charges for any services or materials not covered by this section or for costs above

the maximum allowances for materials.