How To Access Vision Care Services

Under the Vision Plan, you may receive services from any legally qualified optometrist or ophthalmologist; however, the Plan pays increased benefits when you receive services from a "VSP" provider as outlined previously.

There are no claim forms to file when you obtain services from a VSP provider. However, if you receive vision services from a non-VSP provider, you must submit to VSP an itemized statement along with your bill to receive benefits.

To obtain benefits under VSP, follow these steps...

  1. Obtain a list of VSP member providers. You can do this by calling VSP at 800-877-7195, or accessing VSP's Web site at www.vsp.com. If you already have a vision provider, check the listing (or call your provider) to see whether he or she is a VSP provider.

  2. Call a provider and make an appointment. If you are calling a VSP provider, be sure to give the provider's office your Social Security Number and tell the office that you are a VSP participant. The VSP provider will call VSP to verify your (or your dependent's) eligibility and plan coverage. If you are not eligible—for example, if you have already had an exam within the allotted time frame—the provider's office will explain to you why, and discuss your options.

  3. Then, if you receive services from a:

    • VSP provider, simply pay the applicable copayment(s) at the time of your visit. The provider will bill VSP directly and no further paperwork will be required. (The provider will also itemize any optional charges that are your responsibility. For information about any additional charges you may be required to pay, see What The Vision Plan Does Not Cover .)

    • Non-VSP provider, you must pay the bill in full at the time you receive the services. Then, submit an itemized statement to VSP. VSP will then reimburse you according to the schedule of allowance for non-VSP providers outlined in the table under What the Plan Covers. Be sure to submit this information to VSP within six months of your visit. Claims should be sent to...

      Vision Service Plan

      Attention: Out-of-Network Provider Claims

      P.O. Box 997100

      Sacramento, CA 95899-7100

When submitting your claim, be sure to include the following:

  • An itemized receipt listing the services received.

  • The name, address and phone number of the provider.

  • Your name, address, phone number, and Social Security Number (or member Identification Number).

  • The name of the group (i.e., Alexander and Baldwin).

  • If services were provided to a dependent, the patient's name and relationship to you (i.e. spouse/domestic partner, child), date of birth, phone number, and address.

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