As a DeltaVision member, you will utilize the VSP network allowing you access to care from great eye doctors, quality eyewear and the affordability you deserve, all at low out-of-pocket costs. Maximize the plan benefits by using VSP network providers. No claims to file, quality providers and a great selection of eyewear are just a few of the features available when you stay in-network.
DeltaVision does not require the use of an ID card and therefore does not issue cards. However, you may register on the DeltaVision website and print a paper copy if you wish. When you visit your provider simply tell them you are insured by DeltaVision and the provider will verify coverage with them.
If you choose an out of network provider, you will pay in full at the time of service and will need to obtain an itemized receipt and then file a claim for reimbursement. You will be reimbursed up to the out of network allowance.
Resources
| Services | In-Network | Out-Of-Network |
| Routine Eye Exam | $10 copay every 12 months | Up to $45 |
| Eyeglass Frames | $150 allowance + 20% discount over allowance every 24 months | Up to $70 |
| Eyeglass Lenses |
$25 Every 12 months |
Up to $100 |
| Contact Lenses | ||
| Elective Contact Lenses | $150 allowance every 12 months | Up to $105 |
| Non-elective (medically necessary) | $0 Copay Every 12 months | Up to $210 |
Premium Costs
The premium to participate in the vision program is listed below. Premiums are deducted on a pre-tax basis.
| Coverage Type | Monthly Rate |
| Single | $5.70 |
| Single + 1 Dependent | $11.41 |
|
Full Family |
$18.37 |
