Vision

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

2022 – 2023 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 Tennessee 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
Frames
(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
Lenses
(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 enhancement

 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 vsp.com/specialoffers for details)
20% savings on additional glasses and sunglasses, including lens enhancements from any VSP provider within 12 months of your WellVision exam		 N/A
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