MMC Benefits Handbook
What's Covered
The table below summarizes the Plan's coverage levels.
Vision Care Plan
Low (Standard) Option
High (Enhanced) Option
Coverage for Preferred Providers
Eye Examination
Covered in full, after a $10 copayment, every calendar year
Covered in full, after a $10 copayment, every calendar year
Lenses
  • Single Vision
  • Lined Bifocal
  • Lined Trifocal
  • Polycarbonate (for children up to age 19)
Covered in full, after a $25 copayment, every calendar year
Covered in full, after a $10 copayment, every calendar year
Progressive Lenses
  • Standard Progressive $0 copayment
  • Premium Progressive $95-$105 copayment
  • Custom Progressive $150-$175 copayment
  • Standard Progressive $0 copayment
  • Premium Progressive $95-$105 copayment
  • Custom Progressive $150-$175 copayment
Frames
Covered up to $130, every other calendar year, with a 20% savings on the amounts over the retail allowance
Covered up to $175, every calendar year, with a 20% savings on the amounts over the retail allowance
Contact Lenses (in lieu of Lenses and Frame)
Covered up to $130, every calendar year, contact lens exam (fitting and evaluation) covered in full with a copayment not to exceed $60. VSP has partnered with leading contact lens manufacturers to provide VSP members exclusive offers. Visit www.specialoffers.vsp.com to learn more.
Covered up to $175, every calendar year, contact lens exam (fitting and evaluation) covered in full with a copayment not to exceed $60. VSP has partnered with leading contact lens manufacturers to provide VSP members exclusive offers. Visit www.specialoffers.vsp.com to learn more.
Medically Necessary Contact Lenses (in lieu of Lenses and Frame) [requires VSP approval]
Covered in full after a $25 copay every calendar year
No copay required for contact lens exam (fitting and evaluation)
Covered in full after a $10 copay every calendar year
No copay required for contact lens exam (fitting and evaluation)
  • UV Coating
Up to a 25% savings off the retail price
Up to a 25% savings off the retail price
  • Tint (Solid and Gradient)
Up to a 25% savings off the retail price
Up to a 25% savings off the retail price
  • Scratch Resistance
Up to a 25% savings off the retail price
Up to a 25% savings off the retail price
  • Basic Polycarbonate (for adults over age 19)
Up to a 25% savings off the retail price
Up to a 25% savings off the retail price
  • Standard Anti-Reflective
Up to a 25% savings off the retail price
Up to a 25% savings off the retail price
Laser Vision Correction (PRK, LASIK and Custom LASIK)
  • Savings average 15 - 20% off the regular price or 5% off the promotional price. Discounts only available from contracted facilities.
  • Savings average 15 - 20% off the regular price or 5% off the promotional price. Discounts only available from contracted facilities.
Additional Pairs of Prescription Glasses
  • 20% savings on additional glasses and sunglasses, including lens enhancements, from any VSP doctor within 12 months of your last WellVision Exam.
  • 20% savings on additional glasses and sunglasses, including lens enhancements, from any VSP doctor within 12 months of your last WellVision Exam.
Replacement Contact Lenses
15% off the contact lens exam (discount does not apply to the contact lens materials)
15% off the contact lens exam (discount does not apply to the contact lens materials)
Mail Order Contact Lenses
Convenient home or office delivery options may be available from your VSP doctor.
Convenient home or office delivery options may be available from your VSP doctor.
Coverage for Non-Preferred Providers
Eye Examination
  • Up to a $45 allowance
  • Up to a $45 allowance
Lenses
  • Single Vision
  • Lined Bifocal
  • Lined Trifocal
  • Single Vision: Up to $30 allowance
  • Lined Bifocal : Up to $50 allowance
  • Lined Trifocal Lenses: Up to $65 allowance
  • Progressive Lenses : Up to $50 allowance
  • Single Vision: Up to $30 allowance
  • Lined Bifocal : Up to $50 allowance
  • Lined Trifocal Lenses: Up to $65 allowance
  • Progressive Lenses : Up to $50 allowance
Frames
  • Up to $70 allowance
  • Up to $70 allowance
Contact Lenses (in lieu of Lenses and Frame)
  • Up to $105 allowance
  • Up to $105 allowance
Medically Necessary Contact Lenses
  • Up to $210 allowance
  • Up to $210 allowance