Vision Plans
Vision Plans
VSP Vision Care Vendor Information
VSP Vision Care is the State Plan's vision plan third-party administrator. The State of Montana Benefit Plan has two vision plans, a Basic Vision Plan and a Vision Hardware Plan.
Vision exams related to medical conditions will process under regular medical benefits and will need to be submitted to BlueCross BlueShield of Montana (BCBSMT).
For complete details about your vision benefits, review the Vision Summary of Benefits and Wrap Plan Document.
Eligibility
Basic Vision Plan: Included with State Plan medical benefits at no additional cost for employees, legislators, retirees, COBRA participants, and eligible dependents (spouse, domestic partner, and/or children) enrolled in State Plan medical coverage.
Vision Hardware Plan: Employees, legislators, retirees, COBRA members, and eligible dependents (spouse, domestic partner, and/or children) enrolled in medical benefits are eligible to elect the optional Vision Hardware Plan. If you elect Vision Hardware coverage, it will apply to everyone covered under your medical plan. You must enroll each year during the Open Enrollment Period to continue coverage.
Find an In-Network Provider
To find an in-network provider near you, go to vsp.com and select "Find a Doctor". You may search by location, office name or provider name.
If an in-network provider is not available in your geographic area or you are not able to schedule an appointment with an in-network provider within 30 days of calling, contact VSP Vision Care for assistance with accessing in-network benefits. Approval must be received from VSP Vision Care to access an out-of-network provider at in-network benefits before receiving services. Learn more about what to do if in-network providers are unavailable in your area.
Online Resources
To get the most out of your State Plan vision benefits, create an account at vsp.com. After registering, you can view your benefits, including copays and coverage, find an in-network provider, review your Explanation of Benefits (EOBs), access special offers, and more.
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Learn more about the resources available at vsp.com.
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Get access to Eyeconic, VSP Vision Care's online eyewear retailer for prescription glasses, sunglasses, and contact lenses. Sign in as a VSP Vision Care member to receive 20% off glasses and sunglasses, plus explore other available savings.
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Eyewear and eye care special offers are available at all VSP Vision Care in-network provider locations. View the exclusive member extras guide for more details. You can also view all the member extras at vsp.com/offers.
All State Plan members covered on the medical plan are entitled to one routine vision and eye health evaluation each year for a $10 copay at an In-Network VSP Vision Care provider. If you use an in-network VSP Vision Care provider, discounts are available for certain services and hardware.
| Coverage | In-Network | Out-of-Network |
|---|---|---|
| Exam Copay | $10 | $10 |
| Exam Allowance (once per Frequency Period*) | 100% after Copay | Up to $45 |
| Discounts | Yes | No |
*Frequency Period begins on January 1 (calendar year basis)
Vision hardware coverage is available for an additional cost and must be elected upon your initial enrollment and each year during the annual Open Enrollment Period. Coverage includes one routine vision and eye health evaluation and vision hardware benefits. If elected, Vision Hardware coverage applies to all individuals covered under your medical plan.
| Coverage | In-Network | Out-of-Network |
|---|---|---|
| Exam Copay | $10 | $10 |
| Exam Allowance (once per Frequency Period*) | 100% after Copay | Up to $45 |
| Materials Copay** | $20 | $20 |
| Basic Prescription Lenses Allowance Single Vision (one pair per Frequency Period*) | 100% after Copay | Up to $45 |
| Basic Prescription Lenses Allowance Lined Bifocal (one pair per Frequency Period*) | 100% after Copay | Up to $55 |
| Basic Prescription Lenses Allowance Lined Trifocal (one pair per Frequency Period*) | 100% after Copay | Up to $65 |
| Basic Prescription Lenses Allowance Lined Lenticular (one pair per Frequency Period*) | 100% after Copay | Up to $80 |
| Contact Lenses Allowance (prescription contact lenses in lieu of glasses) | $150 Allowance | Up to $95 |
| Frame Retail Allowance at VSP Vision Care Doctor (every other calendar year) | $150 Allowance, then 20% Off Balance | Up to $52 |
| Frame Retail Allowance at Costco, Walmart, or Sam's Club Optical (every other calendar year) | $80 Allowance | Up to $52 |
*Frequency Period begins on January 1 (calendar year basis)
**Materials are eyeglass lenses, frames, and/or contact lenses
All maximums will be based on a Plan Year, which is January 1 through December 31.
Several discount programs are available to State Plan members for LASIK eye surgery.
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VSP Laser VisionCare Program offers fully covered visits to your VSP in-network provider before and after your procedure plus you get special pricing on services from a VSP contracted laser vision center.
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QualSight offers LASIK discounts ranging from 40-50% off the national average price through its partnership with Delta Dental.
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LasikPlus, LASIKVision Institute, NVISION Eye Centers, and TLC Laser Eye Centers offer discounts of up to $1,000 off LASIK.