Green Dot Public Schools offers vision coverage through VSP to save you money on expenses such as eye exams, glasses, and contact lenses.

2023 – 2024 Vision Plan Key Features

  • Affordable coverage that helps you manage the cost of vision care and supplies —  see your contribution rates
  • Eye exam covered every year, with only a small copay charged to you
  • Coverage for prescription eyeglasses or contact lenses so you can choose the method of correction you prefer
  • Freedom to see any vision provider you want; however, you will get the best value from your plan benefits when you receive care from a VSP network provider

Choice of four coverage levels:

  • Employee Only
  • Employee + Spouse/Domestic Partner
  • Employee + Child(ren)
  • Employee + Family

Find a Network Provider

You’ll get the best value by using a provider in the VSP network.

VSP Vision Plan California/National/UPAS Employees

The following chart provides an overview of coverage under the VSP Vision Plan. For complete details, please review the plan document.

Plan Details In-Network Out-of-Network
WellVision Eye Exam
(every 12 months)
$10 copay Reimbursed up to $45
Prescription Glasses $25 materials copay for frame and lenses combined (lens enhancements have separate copays) See frames, lenses, and lens enhancements
(every 12 months)
$120 allowance for a wide selection of frames
$140 allowance for featured frame brands
20% savings on the amount over your allowance
$65 Costco® frame allowance
Reimbursed up to $70
(every 12 months)
Single vision, lined bifocal, and lined trifocal lenses
Polycarbonate lenses for dependent children
Photochromic/tints/dyes for dependent children covered in full
Single vision: Reimbursed up to $30
Lined bifocal: Reimbursed up to $50
Lined trifocal: Reimbursed up to $65
Lens Enhancements
(every 12 months)
Standard progressive: $0 copay
Premium progressive: $95 – $105 copay
Custom progressive: $150 – $175 copay
Average savings of 30% on other lens enhancements
Progressive: Reimbursed up to $50
Contact Lenses
(instead of glasses)
(every 12 months)
Contact lens exam (fitting and evaluation): up to $60 copay
$120 allowance for contacts; copay does not apply
Reimbursed up to $105
Diabetic Eyecare Plus Program $20 copay for services related to diabetic eye disease, glaucoma, and age-related macular degeneration (AMD); retinal screening for eligible members with diabetes. Limitations and coordination with medical coverage may apply. Ask your VSP doctor for details. N/A
Extra Savings
Glasses and Sunglasses Extra $20 to spend on featured frame brands (see for details)
20% savings on additional glasses and sunglasses, including lens enhancements from any VSP provider within 12 months of your WellVision exam
Retinal Screening No more than a $39 copay on routine retinal screening as an enhancement to a WellVision exam N/A
Laser Vision Correction Average 15% off regular price or 5% off promotional price; discounts only available from contracted facilities N/A