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

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 Employees
The following chart provides an overview of coverage under the VSP Vision Plan. For complete details, please review the plan documents.
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 20% – 25% 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 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 |