Vision Care Plan

Princeton University's Vision Care Plan is administered by Vision Service Plan (VSP). VSP offers a large network of qualified optometrists and ophthalmologists.

You and your eligible family members may enroll in the plan, designed to encourage you to maintain your vision through regular eye examinations and to help with vision care expenses for required glasses or contact lenses. The full cost of the plan is paid by you on a pretax basis.

Benefit	Frequency	Copayment	Coverage from a VSP Preferred Provider	Coverage from a VSP Affiliate Provider (Costco⁴ or Eye Care Centers of America)	Out of Network Reimbursement
Comprehensive Vision Exam	Once every calendar year	$10	Covered in full	Covered in full	Up to $43 allowance
Lenses¹	Once every calendar year	$20 (applied to lenses and frames)	Single vision, lined bifocal, lined trifocal, or lenticular prescription lenses are covered in full.	Single vision, lined bifocal, line trifocal, or lenticular prescription lenses are covered in full	Single vision up to $40 allowance Lined bifocal up to $60 allowance Lined trifocal up to $73 allowance
Frame²	Once every calendar year		Covered up to $155 retail allowance	Covered up to a $85 retail allowance at Costco	Covered up to $47 allowance
Contact Lenses³(materials, evaluation fee, and fitting costs)	Within 12 months of your last eye exam		Covered up to $140 allowance	Covered up to $140 allowance	Covered up to $140 allowance

You cannot be reimbursed for glasses and contacts in the same calendar year.

¹ Lens options that can enhance the appearance, durability and function of your glasses are available to you at VSP's member preferred pricing. Ask your doctor for details.

² If you choose a frame valued at more than your allowance, you will save 20% on your out-of-pocket costs for frames.

³ Your allowance applies to the cost of your contact lens exam and your contact lenses. You will receive a 15 percent savings off the cost of your contact lens exam from a VSP doctor. Your contact lens exam is performed in addition to your routine eye exam to check for eye health risks associated with improper wearing or fitting of contacts. You may receive a 20 percent savings when you purchase non-covered pairs of prescription glasses, including prescription sunglasses from the same VSP doctor within 12 months of your last eye exam.

⁴A Costco membership is required if the member purchased eyewear (glasses and/or contacts) from Costco Optical. A Costco membership is not required if the member only receives an eye exam from a Costco provider.

The plan covers all tints, polycarbonate lenses and scratch coatings and offers savings on laser vision correction surgery.

There is no benefit for professional services or materials connected with:

orthoptics or vision training and any associated supplemental testing
plano lenses (nonprescription)
two pair of glasses in lieu of bifocals
lenses and frames furnished under this program which are lost or broken will not be replaced except at the normal intervals when services are otherwise available
medical or surgical treatment of the eyes
any eye examination, or any corrective eye wear, required by an employer as a condition of employment
protective eyewear

How the Plan Works

1. Locate a VSP provider here and select "Signature" network or call (800) 877-7195.

2. Schedule an appointment. Let the office know that you are a VSP member and provide the following:

name and date of birth of person seeking the care
your employer is Princeton University
your name (as the employee) and your social security number
the VSP doctor's office will verify your eligibility prior to your visit

3. Pay any applicable copayments or cost not covered by the plan after services are provided.

4. Get reimbursed if you use a provider not in the VSP network. Pay the entire bill when you receive services from the provider.Send the complete itemized bill, within six months from your date of service, with the following information:

the employee's name, address, phone number and social security number
the name, date of birth, address, phone number and relationship (self, spouse, child, etc.) of the enrolled member receiving the service
mail to: VSP, PO Box 997105, Sacramento, CA 95899-7105

If you have any questions about this plan, call the Benefits Team for assistance at 258-3302 or e-mail us at benefits@princeton.edu

Benefit Plan Rates

VSP Home Page

While the University intends to continue each of the benefit plans, the University reserves the right to terminate or amend any plan, at any time, and for any reason