University of Oklahoma (OU) - Student Vision Services Plan

   
OU Student Vision Services Plan Design:
 
For information regarding your current services available, and for a listing of VSP providers,
please visit the VSP website at www.vsp.com and click on the members box on the right hand side.
 
In-Network Exam:
One Exam, with a $15 Co-Pay, Plan pays the balance.
 
In-Network Lenses:

One Set of Lenses, with a $25 Co-Pay, Plan pays the balance for single, bi-focal, and tri-focal lenses.

 
In-Network Frames:
One set of frames, plan pays upto $130, member receives 20% for amounts over $130.
 
In-Network Contacts:
One set of contacts, in leiu of Lenses & Frames, plan pays up to $120, member recives 20% for amounts over $120.
 
In-Network Options:
Tints: Discounted
Dyes: Discounted
Progressive Lenses for Children: 100% Covered
Progressive Lenses for Adults: Discounted

 

Rates:

Due to the volatility of student benefit eligibility, and the fact of all benefits becoming available on the first day of coverage, it is necessary that the entire payment is collected upon enrollment, additionally, if paying with a credit card, a small handling charge is also applied, we regret that at this time we are unable to except monthly payments for this service plan type.

 
Due to High Utilization of this Plan the Student Rate has recently changed
 
Equivalent Monthly Fee
Complete Service Fee
Credit Card Handling Fee
Total
Student Only:
$10.45

$113.40

$3.76

$129.16

Student & Spouse:
$17.95

$215.40

$5.05

$220.45

Student & Child(ren):
$18.95

$227.40

$5.35

$232.75

Student & Family:
$29.95

$359.40

$8.35

$367.75

 
Some Useful Documents:
Plan Summary (pdf 709Kb)
Vision Facts & Stats (pdf 1.36Mb)
New Member Letter (pdf 1.39Mb)
HIPAA Privacy Notice (pdf 47Kb)
   
Please Note:
Coverage is subject to verification of eligible student status. Your coverage and premium payment is pending until this has been verified by the university. You will receive an email confirmation upon completion of this process welcoming you to your new vision plan.
   
Begin Enrollment Here (All Fields are Required):
Members First Name:
Members Last Name & Suffix:
Members Gender:
Members Birth Date:
Members Student ID:  
Members Address Line 1:
Members Address Line 2:
Members City:
Members State & Zip Code:
Members Email Address:
   
Acknowledgements (Please Check all 3 boxes, or we cannot accept your enrollment):
I understand that this is not insurance. I understand that this is an offer in consideration of a one-time payment of a professional eye exam for $15, and a set of glasses for $25 with frames of up to $130 in value, or I may in substitute of the glasses receive contact lenses & fitting up to $120 in value.
  Please Acknowledge Here:
   
I understand that I have 12 months beginning the 1st day of the month after the date of my payment to utilize these offered services; at the end of which, if I have not fully made use of these services, I understand that I will forfeit whatever remains.
  Please Acknowledge Here:
   
I understand that having made my payment for this offered service, and having received confirmation from USAvision of my acceptance for this service, that from the 1st day of the month following my payment, that there is no longer a possibility of either a full or partial refund.
  Please Acknowledge Here:
   
 
   
Selection Your Coverage Level:
   
 

 

 
 

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