Vision Plans

Vision Plans

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. State Plan members also have access to Eyeconic, VSP Vision Care's discount store for eyewear, including glasses, sunglasses, and contact lenses for adults and children.

Vision exams related to medical conditions will process under regular medical benefits and will need to be submitted to BlueCross BlueShield of Montana (BCBSMT). If your vision provider is an in-network provider with BCBSMT, the provider should submit claims on your behalf.

To get the most out of your State Plan vision benefits, create an account at vsp.com. Once you've set up your VSP member account, you'll be able to view your benefits, including copays and coverage, find an in-network provider, review Explanation of Benefits (EOBs), access special offers, and more. Learn more about what vsp.com has to offer.

To find an in-network doctor near you, go to vsp.com and selected "Find a Doctor". You may search by location, office name or doctor 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. Arrangements must be made prior to obtaining services from an out-of-network provider. Learn more about what to do if in-network providers are unavailable in your area.

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)

All 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 at no additional cost. If you use a VSP 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
Materials Copay $20 $20
Discounts Yes No
Single Vision Basic Prescription Lenses Allowance (One Pair per Frequency Period) 100% after Copay Up to $45
Lined Bifocal Basic Prescription Lenses Allowance (One Pair per Frequency Period) 100% after Copay Up to $55
Lined Trifocal Basic Prescription Lenses Allowance (One Pair per Frequency Period) 100% after Copay Up to $65
Lenticular Basic Prescription Lenses Allowance (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
VSP Doctor Frame Retail Allowance (Every Other Calendar Year) $150 Allowance, then 20% Off Balance Up to $52
Costco, Walmart, or Sam's Club Optical Frame Retail Allowance (Every Other Calendar Year) $80 Allowance Up to $52

*Frequency Period begins on January 1 (Calendar Year Basis)

All maximums will be based on a Plan Year, which is January 1 through December 31. 

Vision Hardware Plan Eligibility

You may enroll for vision hardware coverage each year for an extra cost which provides for one routine vision and eye health evaluation as well as the hardware coverage. If you elect vision hardware coverage, it will apply to everyone covered on your Medical Plan. You must re-enroll each year during the Open Enrollment Period.

Employees, legislators, retirees, COBRA members, and eligible dependents (spouse, domestic partner, and children) that are enrolled in medical coverage are eligible for the Vision Hardware Plan. The Vision Hardware Plan is an optional benefit.

Get access to more than $3,000 in savings from VSP Vision Care and other popular brands for your eye care and overall wellness needs.

Exclusive Member Savings

Eyewear and eye care special offers are available at all VSP® network doctor locations! This interactive flier allows you to click on any offer shown below and find out more details. You can also view all the member extras at vsp.com/offers.

Eyeconic

Shop at VSP Vision Care's online eyewear store using your VSP vision benefits. Eyeconic is an online retailer of eyewear, including glasses, sunglasses, and contact lenses for adults and children. When you sign up using your VSP Vision Care benefits, you'll get an additional 20% off your glasses or sunglasses purchase in addition to other perks.

Lasic Eye Surgery Discounts

Several discount programs are available to State Plan members for LASIK eye surgery.

  • Copay: A fixed dollar amount you pay for a covered service.
  • Coinsurance: The percent the State Plan pays after you meet your deductible.
  • Allowance: The maximum amount VSP Vision Care will pay. Member is financially responsible for the balance.
  • Materials: Eyeglass lenses, frames, and/or contact lenses.