Simplot Vision Program

What you need to know

Vision benefits are covered through the Simplot Vision Program, administered by VSP. Annual vision exams are covered at 100% when you use in-network providers. You can see any provider you’d like, but you’ll receive greater benefits when you see a VSP in-network provider.

Who you can cover

Most employees are eligible to participate in the Simplot Vision Program. If you’re eligible, you can also enroll certain family members.

Eligible family members

• Legal spouse
• Children under age 26, including:
– Biological and step children
– Adopted children or children placed for adoption
– Foster children or children of whom you have legal guardianship
– Adult children, until they reach the end of the month of their 26th birthday
• Your or your spouse’s child of any age who becomes disabled while the child is enrolled in the plan and is dependent on you

You will need to provide supporting documentation, such as a marriage or birth certificate, for your spouse and/or any family members you enroll within 75 days from the date of your event.

What you pay

	In-Network	Out-of-Network¹
Eye Exam	Paid at 100%	$50 allowance
Lenses	$10 copay for all lens types	Allowance: Single vision $30 Bifocal or Progressive $50 Trifocal $65
Frames Allowance	$150	$70
Contact Lens Allowance	$150	$105

¹Certain restrictions and other discounts may apply. Please review this handout and the Vision Program Document (on Documents page).

Using your VSP benefits

Your VSP vision benefit through the Simplot Vision Program provides comprehensive vision coverage. You have the choice to see the provider you choose to keep your eyes healthy, but keep in mind you receive a higher benefit with a VSP in-network provider (meaning you’ll pay less for care). The Simplot Vision Program includes coverage for lenses and contacts, so you can choose the eyewear that is right for you.

Using your VSP benefit is easy: Visit vsp.com to find a provider in the VSP Choice network and review your coverage information. When it comes time for care, no vision ID card is necessary. At your appointment, just tell them you have VSP benefits and they’ll take it from there.

To set up your account, visit vsp.com and click Create an Account. You’ll need your Social Security number or Member ID number, first and last name and your date of birth.