Whether or not your vision is 20/20, regular vision care is important for everyone. Read more about your Pacsun vision benefits below…
Pacsun vision coverage is offered through Vision Service Plan (VSP). VSP has one of the largest networks of private practicing optometrists, ophthalmologists, and opticians.
You have the option to visit a VSP in-network doctor or an out-of-network doctor. However, your out-of-pocket costs will be higher if you visit an out-of-network doctor.
When you visit a VSP network doctor, your provider will submit a claim on your behalf. If you elect to visit an out-of-network provider, you will be required to pay them in full at the time of service. You will then have to file a claim for reimbursement with VSP. VSP will then reimburse you up to the allowed amount under the out-of-network reimbursement schedule.
You do not need an ID card. Simply call an in-network provider to schedule an appointment and be sure to tell them you are a VSP member. They can then verify your coverage. Visit www.vsp.com for a list of providers in the Choice Network.
|Associate + Spouse||$6.33|
|Associate + Child(ren)||$5.70|
|Associate + Family||$12.64|
|BENEFIT – Once every 12 months||VSP CHOICE NETWORK||OUT-OF-NETWORK REIMBURSEMENT|
|Exam||$10 copay |
(exams + materials)
|$10 copay, then up to $45 reimbursement|
|Lenses||No charge after copay for basic lenses (add-ons may incur a charge)||Up to $30 -$65 reimbursement (based on lens type)|
|Frames||Plan pays up to $200 retail, 20% discount amounts over $200. $110 allowance at Costco||Up to $70 reimbursement|
|Contact Lenses – In lieu of lenses & frames||Fitting & Evaluation: up to $60 copay;||Up to $105 reimbursement for services and materials|
|Suncare Benefit – In lieu of contacts or glasses||$200 allowance for ready-made non-prescription sunglasses after $10 copay||$200 allowance for ready-made non-prescription sunglasses after $10 copay|
VSP offers special discounts on a number of non-covered services, such as additional pairs of glasses, special lens options, and LASIK surgery. For more information visit www.vsp.com or call VSP Customer Service at 800-877-7195.