LAPRA members who enroll in the Anthem PPO or the Anthem HMO automatically receive vision coverage through Vision Service Plan (VSP). Kaiser members will automatically be enrolled in the Kaiser Vision Benefits.
LAPRA members who enroll in the Anthem PPO or the Anthem HMO automatically receive vision coverage through Vision Service Plan (VSP). You may use any vision provider for vision care; however, when you use a VSP Choice provider, you’ll save money on exams and eyewear and there are no claim forms. VSP also offers discounts on glasses and sunglasses, contact lenses, and laser vision correction. Most services are provided every 12 months.
For more information or to find a member doctor visit the VSP website at www.vsp.com.
| Benefit Feature | Coverage from VSP Choice Network Provider | Non-VSP Choice Network Reimbursement Amounts1 |
|---|---|---|
| Eye Exam Once every 12 months | $20 co-pay | $45 reimbursement |
| Frames Once every 12 months | Plan pays up to $115 (20% discount on out-of-pocket expense above $115) | $47 reimbursement |
| Lenses Once every 12 months • Single vision lens • Lined bifocal lens • Lined trifocal lens | Plan pays 100% Plan pays 100% Plan pays 100% | $45 reimbursement $65 reimbursement $85 reimbursement |
| Contact Lenses & Fitting Exam Once every 12 months (in lieu of lenses and frames) | $120 allowance | $105 reimbursement |
1 You must submit claim forms when you use non-VSP Choice Network providers.
LAPRA members who enroll in Kaiser receive vision services through Kaiser.
| Benefit Feature | Kaiser Coverage | Frequency |
|---|---|---|
| Eye Exam | Covered by your KP Health Plan. Book an eye exam on kp2020.org. No charge for preventive screening. | No limit |
| Prescription Eyeglasses and Contact Lenses | $350 allowance toward the purchase price of any or all of the following: Prescription eyeglasses. To use the optical benefit, at least one of the two lenses requires a prescription. Contact lenses, fitting and dispensing. | Once every 24 months |