Health Care & Benefits Division

Vision Plans

VSP Vision Care is the State Plan's Vision Plan third party administrator. The State of Montana Benefit Plan has two vision plans, a Basic Vision Plan and a Vision Hardware Plan. State Plan members also have access to Eyeconic, VSP Vision Care's discount store for eyewear, including glasses, sunglasses, and contract lenses for adults and children. 

  1. Basic Vision Plan - All members covered on the medical plan are entitled to one routine vision and eye health evaluation each year for a $10 copay at an in network VSP Vision Care provider at no additional cost. If you use a VSP provider, discounts are available for certain services and hardware.
  2. Vision Hardware Plan - You may enroll for vision hardware coverage each year for an extra cost which provides for one routine vision and eye health evaluation as well as the hardware coverage. If you elect vision hardware coverage, it will apply to everyone covered on your Medical Plan. You must re-enroll each year during the Open Enrollment Period.

To get the most out of your State Plan vision benefits, create an account at vsp.com. Once you've set up your VSP member account, you'll be able to view your benefits, including copays and coverage, find an in-network provider, review Explanation of Benefits (EOBs), access special offers, and more. Click here to learn more about what vsp.com has to offer. 

 

Find In-Network Care

To find an in-network doctor near you, go to vsp.com and selected "Find a Doctor". You may search by location, office name or doctor name. 

If an in-network provider is not available in your geographic area or you are not able to schedule an appointment with an in-network provider within 30 days of calling, contact VSP Vision Care for assistance.  Arrangements must be made prior to obtaining services from an out-of-network provider. Learn more about what to do if in-network providers are unavailable in your area

 

Vision Plan Administrator Change

On January 1, 2023, VSP Vision Care began administering State Plan vision benefits. Previously, from January 1, 2016, through December 31, 2022,  Cigna/Allegiance Benefit Plan Management administered State Plan vision benefits. 

If you have questions about vision claims prior to January 1, 2023, you may contactCigna at (877) 478-7557 orstateofmontana@cigna.com.

 

Basic Vision Plan

All members covered on the medical plan are entitled to one routine vision and eye health evaluation each year for a $10 copay at an in network VSP Vision Care provider at no additional cost. If you use a VSP provider, discounts are available for certain services and hardware.

Coverage In-Network Out-of-Network
Exam Copay $10 N/A
Exam Allowance (Once Per Frequency Period*) 100% after Copay Up to $45
Discounts Yes No

 *Frequency Period begins on January 1 (Calendar Year Basis)

  

Vision Hardware Plan 

You may enroll for vision hardware coverage each year for an extra cost which provides for one routine vision and eye health evaluation as well as the hardware coverage. If you elect vision hardware coverage, it will apply to everyone covered on your Medical Plan. 

You must re-enroll each year during the Open Enrollment Period.  

Coverage In-Network  Out-of-Network
Exam Copay $10 N/A
Exam Allowance (Once per Frequency Period*) 100% after Copay Up to $45
Materials Copay $20 N/A
Discounts Yes No

Basic Prescription Lenses Allowance (One Pair per Frequency Period*)

     Single Vision
100% after Copay
Up to $45
     Lined Bifocal 100% after Copay Up to $45
     Lined Trifocal 100% after Copay Up to $45
     Lenticular 100% after Copay Up to $45
Contact Lenses Allowances (Prescription contact lenses in lieu of glasses) $150 Allowance Up to $95
Frame Retail Allowance (Every Other Calendar Year)
     VSP Doctor
$150 Allowance then 20% Off Balance
Up to $52
     Costco, Walmart, or Sam's Club Optical
$80 Allowance
Up to $52
 *Frequency Period begins on January 1 (Calendar Year Basis)

All maximums will be based on a Plan year, which is January 1 through December 31. 

Vision Hardware Plan Eligibility

Employees, legislators, retirees, COBRA members, and eligible dependents (spouse, domestic partner, and children) that are enrolled in medical coverage are eligible for the Vision Hardware Plan. The Vision Hardware Plan is an optional benefit.

 

Definitions

Copay:  A fixed dollar amount you pay for a covered service. 

Coinsurance: The percent the State Plan pays after you meet your deductible.

Allowance: The maximum amount VSP Vision Care will pay. Member is financially responsible for the balance. 

Materials: Eyeglass lenses, frames, and/or contact lenses. 

Vision Resources

 

VSP Vision Care Logo

Phone: (800) 877-7195

Mailing Address:
Vision Service Plan
PO Box 385018

Birmingham, AL 35238-5018

App: VSP Vision Care

Website: vsp.com

How to Submit a Claim

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