Vision plan at a glance

Vision plan at a glance

Service Description Frequency Your copay Out-of-network reimbursement
Eye exams Well Vision Exam focuses on your eye health and overall wellness covered in full Every 12 months $10 Up to $45
Lenses Glass or plastic, single vision, lined bifocal, lined trifocal or lenticular prescription lenses are covered in full Every 12 months $25
(lenses & frames)
Up to $30/$50/$65
Frames Frames are covered up to the retail allowance
of $150
Every 24 months $25
(lenses & frames)
Up to $70
Contact lenses Elective contact lens materials are covered up to $130 toward any type of prescription contact lenses, instead of eyeglasses Every 12 months Up to $60
(fitting & evaluation)
Up to $105
Coverage & copay

Coverage & copay

Here’s a look at what services are included in your coverage and the copay amount you will pay when you use the VSP network. When you go out of the VSP network for vision services, you will pay for your services up front and then be reimbursed for only a certain amount of each expense.

Eye exams

Well Vision Exam focuses on your eye health and overall wellness, covered in full

  • Frequency: Every 12 months
  • Your copay:  $10
  • Out-of-network reimbursement: Up to $45

Lenses

Glass or plastic, single vision, lined bifocal, lined trifocal or lenticular prescription lenses, covered in full

  • Frequency: Every 12 months
  • Your copay:  $25 (lenses & frames)
  • Out-of-network reimbursement: Up to $30/$50/$65

Frames

Frames are covered up to the retail allowance of $150

  • Frequency: Every 24 months
  • Out-of-network reimbursement: Up to $70

Contact lenses

Elective contact lens materials are covered up to $130 toward any type of prescription contact lenses, instead of eyeglasses

  • Frequency: Every 12 months
  • Your copay:  Up to $60 (fitting & evaluation)
  • Out-of-network reimbursement: Up to $105

LASIK

The Allscripts Vision Plan also provides you with access to the VSP Laser Vision Care Program. This program offers discounts on PRK, LASIK and Custom LASIK through VSP-contracted facilities.

Vision plan rates for 2022

Vision plan rates for 2022

Coverage level Associate per-pay-period contribution
Associate only $3.24
Associate + spouse/DP $6.15
Associate + child(ren) $6.47
Associate + family $9.50

Need assistance?

VSP – See better for life

800.877.7195
Visit website
Group Number: 12160149

No vision ID card needed

There are no ID Cards with the Allscripts Vision Plan. Your Group Number (12160149) is all your vision provider will need to confirm your vision coverage and submit a claim.

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