Vision Coverage

Vision Service Member Services Support
 -  Toll Free 800.877.7195 
 -  Web site: www.vsp.com

The primary purpose of this VSP vision care plan is to provide professional eye exams and material discounts to help pay the cost of materials. When obtaining services from a VSP doctor, the exam is covered in full, less any applicable co-payment. Members receive a 20 percent discount off the VSP doctor’s usual customary fees for complete pairs of prescription glasses. The discount includes lenses and lens characteristics chosen for cosmetic reasons. A 15 percent discount applies to the doctor’s professional services for all types of prescription contact lenses. This discount applies to professional services only, materials are provided at usual customary fees.

Obtaining services from a VSP doctor: When you want to obtain vision care services, call a VSP doctor to make an appointment. To locate a VSP doctor, call VSP at 800.877.7195 to request a VSP doctor listing, or go to www.vsp.com. Make sure you identify yourself as a VSP member, and be prepared to provide the covered member’s social security number. The VSP doctor will contact VSP to verify your eligibility and plan coverage, and will also obtain authorization for services and materials. If you are not currently eligible for services, the VSP doctor is responsible for communicating this to you. VSP will pay the doctor directly for covered services and materials.

Obtaining services from an out-of-network provider: Services obtained from an out-of-network provider will be reimbursed up to amount on the above schedule less any co-payment. For out-of-network reimbursement, pay the entire bill when you receive services, then send your itemized receipts and full patient and member information to VSP. Claims must be submitted to VSP within six months from your date of service. Please keep a copy of the information for your records and send the originals to the following address: Vision Service Plan, Out-of-Network Provider Claims, P.O. Box 997105 Sacramento, CA 95899-7105.

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Benefits:  Exam once every 12 months
Copayment: $25.00 
  

Services: VSP Doctor Out-of-Network Provider
Exam  Covered in Full (after copayment)  up to $35.00
Complete Pairs of Prescription Glasses 20 percent discount Not Applicable
Contact Lens Evaluation & Fitting 15 percent discount off  professional fees (evaluation & fitting) Not Applicable

   
Additional Benefits:

Laser Vision Correction: VSP’s Laser VisionCare program is also available to those covered under this VSP WellVision Plan®. It is designed to provide members with a discount off laser surgery when obtained through VSP contracted doctors, surgeons, and laser centers. This program includes the two most common laser vision correction procedures, laser-assisted in-situ keratomileusis (LASIK) and photorefractive keratectomy (PRK). Call your VSP doctor to check if he or she is participating in the program. Doctors can also be located on VSP’s Web site at  www.vsp.com or by calling 888.354.4434.

Eligibility: An employee who is scheduled to work a minimum of 32 hours per week is considered eligible for benefits. Employees are eligible for healthcare coverage beginning on the first of the month coinciding with or following their date of hire.

Important Note:  Information regarding benefit enrollment, effective dates of coverage, and policy specifics are available at the Office of Human Resources.  The College reserves the right to amend, change, or terminate any benefit plan at any time.  The descriptions above are intended to provide a brief summary  of the benefit plans.  If there is any discrepancy between the language in this summary and the actual policy or contract held in the Office of Human Resources, the actual policy or contract governs.