Plans with Adult Vision Coverage

MDwise Marketplace and VSP provide vision coverage for adults in who enroll in the following MDwise Marketplace plans:
 
  • Bronze Plus with Adult Vision
  • Silver Plus with Adult Vision
  • Silver 73 Plus with Adult Vision
  • Silver 87 Plus with Adult Vision
  • Silver 94 Plus with Adult Vision
  • Gold Plus with Adult Vision

Find more information about the MDwise Marketplace Bronze Plans.
Find more information about the MDwise Marketplace Silver Plans.
Find more information about the MDwise Marketplace Gold Plan.


Highlights of VSP Vision Coverage
 

EyeCare

You’ll get the highest level of care, including a WellVision Exam®– the most comprehensive exam designed to detect eye and health conditions. Plus, when you see a VSP provider, you'll get the most out of your benefit, have lower out-of-pocket costs and your satisfaction is guaranteed.

Choice in Eyewear
From classic styles to the latest designer frames, you’ll find hundreds of options. Choose from featured frame brands like Anne Klein, bebe®, Calvin Klein, Flexon®, Lacoste, Nike, Nine West and more. Visit vsp.com to find a VSP provider who carries these brands.
 

Vision Benefit Summary

Taking care of your eyes with a MDwise Marketplace plan that includes vision coverage provided by VSP includes a covered-in-full benefit outlined below. You’ll have access to the highest quality vision care from a VSP doctor you can trust. Visit vsp.com to find a doctor who’s right for you.

VSP Provider Network: VSP Choice
 
Benefit Description Copay
WellVision Exam®
  • Focuses on your eyes and overall wellness
  • Every calendar year
$15
Prescription Glasses Descriptions below $30
Frame
  • $150 allowance for a wide selection of frames
  • $170 allowance for featured frame brands
  • 20% savings on the amount over your allowance
  • Every other calendar year
Included in
Prescription
Glasses
Lenses
  • Single vision, lined bifocal, and lined trifocal lenses
  • Every calendar year
Included in Prescription
Glasses
Lens Enhancements
  • Standard progressive lenses
  • Premium progressive lenses 
  • Custom progressive lenses 
  • Average savings of 20-25% on other lens enhancements
  • Every calendar year
$55
$95 - $105
$150 - $175

 
Contacts
(instead of lenses)
  • $150 allowance for contacts; copay does not apply
  • Contact lens exam (fitting and evaluation)
  • Every calendar year
Up to $60
Diabetic
Eyecare Plus
Program
  • 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.
  • As needed
$20
Extra Savings Glasses and Sunglasses
  • Extra $20 to spend on featured frame brands. Go to vsp.com/specialoffers for details. 
  • 20% savings on additional glasses and sunglasses, including lens enhancements, from any VSP provider within 12 months of your last WellVision Exam.
Retinal Screening:
  • No more than a $39 copay on routine retinal screening as an enhancement to a WellVision Exam
Laser Vision Correction:
  • Average 15% off the regular price or 5% off the promotional price; discounts only available from contracted facilities
N/A


Your Coverage with Out-of-Network Providers

Visit vsp.com for details, below are the copay amounts if you plan to see a provider other than a VSP network provider:

Exam: up to $45
Frame: up to $70
Single Vision Lenses: up to $30
Lined Bifocal Lenses: up to $50
Lined Trifocal Lenses: up to $65
Progressive Lenses: up to $50
Contacts: up to $105