| VSP Member Information | |
| Plan Network | Choice |
| Member ID | Your VSP member ID is the same as your Wellfleet member ID (nine digits). Follow the instructions on this Wellfleet flyer to obtain your member ID. |
| Vision Benefits Summary | ||
| VSP Choice Provider | Non-Network Provider | |
| Plan Year | August 1 to July 31 | |
| Eye exam (Once every plan year. Not including contact lens fitting.) | $10 copay | $47 allowance |
| Prescription glasses (once every plan year) |
|
$45 allowance for frames, $30-$60 allowance for lens1 |
| Contact lenses (instead of glasses, once every plan year) | $150 allowance | $100 allowance |
| Additional glasses or sunglasses, including lens enhancements | 20% discount | N/A |
| Lasik or PRK refractive surgeries | 15% discount (average) | N/A |
1Allowance depends on the type of lens. Please refer to the VSP Benefits Summary for more details.
Please note:
- Contact lens wearers may be subject to a contact lens evaluation fee or fitting fee.
- If lenses and frames or contact lenses are chosen that exceed the $150 allowance, the cost above $150 is the responsibility of the student.
- You are expected to pay the co-payment and other fees are the time of service. There are no claims to file for in-network providers.
- The following services or supplies are not covered by this vision plan: Orthoptics or vision training, non-prescription glasses or contact lenses, medical or surgical treatment of the eyes other than laser vision correction, non-FDA-approved vision services, treatment and materials, and any other service not listed above as a covered benefit.
- Injury or illness of the eye will continue to be covered by the medical portion of SHIP, administered by Wellfleet Student.