
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 |
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 |