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Orthoptics or vision training and any associated supplemental testing; plano lenses (less than ±.50 diopter power); or two pair of glasses in lieu of bifocals
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Benefits not specifically listed as covered
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Charges that exceed usual, customary or reasonable charges
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Charges for complications from services not covered by the plan
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Corrective vision treatment that is considered experimental
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Eye exams performed by anyone other than a licensed optometrist or ophthalmologist
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Eye exams required by an employer or the government
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Oversized, tinted, high index or special computer lenses
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Replacement or duplication of lost, stolen or broken lenses and frames if you are not ordinarily eligible for new lenses or frames
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Services and supplies covered under the Full-Time/Part-Time Option 1 Providence Personal Option Plan
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Services or eyewear covered under workers' compensation or similar laws
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Services or supplies for which no charge is made
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Services or eyewear the covered person received before the effective date of this plan, before the covered person's effective date of coverage or after coverage ends
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Shipping costs for supplies
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Sunglasses or other special-purpose vision aids (Lenses with tints other than tints #1 or #2 are considered sunglasses.)
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Treatment of eyes or special procedures such as orthoptics and vision training.
VSP may, at its discretion, waive any plan limitation if, in the opinion of VSP's optometric consultants, it is necessary for the welfare of the covered person.
