Vis io n Principal using the VSP Signature Plan Copays Exam: $10 Copay Materials: $25 Copay Routine Eye Exam Every 12 Months Lenses Every 12 Months Frames Every 12 Months $130 Retail Allowance Contact Lens Every 12 Months $130 Retail Allowance Effective: October 1, 2025 Amounts shown below are your responsibility. This table only shows in-network benefits Like a regular fitness program, vision insurance promotes good health. Eye exams are considered preventive care and plans typically cover most, if not all, of the exam cost. Scheduling regular exams helps your eye doctor identify vision correction needs, changes inside the eye and early stages of eye diseases, such as glaucoma, cataracts, macular degeneration and diabetic retinopathy. 11 www.VSP.com | 800-877-7195