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How can VSP help communicate and promote the VSP eyecare benefit to my members?

We have a variety of member communication tools designed to increase awareness and understanding of the VSP benefit. They're eye-catching, easy to read, and provide all the benefit information members need. Contact your VSP representative for more information or to order the tools you need.

How do my members obtain a list of VSP network doctors?

Go to vsp.com or call 800.877.7195. Clients registered for the Client & Benefit Manager Resource Center at vsp.com can download customized VSP network doctor lists as PDF or Excel files. Your VSP representative can also provide pre-printed brochures for your open enrollment if necessary.


If members have questions about plan coverage, eligibility or eyecare wellness information, where should I direct them?

Members and dependents have instant access to check coverage and eligibility, find a VSP doctor and learn more about eyecare wellness at vsp.com. Members can also call VSP's Member Services anytime at 800.877.7195 to access our automated benefits information system to check eligibility or find a doctor. Our fully-trained member service representatives are available Monday through Friday from 5 a.m. to 7 p.m. Pacific time.


Can we put a link on our intranet or Web site to VSP's Web site?

Yes. To make it easy for members to find vsp.com, visit Connect Members to vsp.com for complimentary graphic hyperlinks.


What if a member is dissatisfied with a VSP network doctor or the materials received through the VSP benefit?

Our Member Promise guarantees complete member satisfaction with services received from a VSP doctor. If at anytime a member is not completely satisfied, let us know and we'll make it right.

For immediate assistance, members can call our Member Services Department at 800.877.7195, Monday through Friday 6:00 a.m. to 7:00 p.m. Pacific time.

Members can also file a formal Member Grievance Form. The grievance form can be completed online or downloaded and mailed to VSP. The form and instructions can be found on the Members site at vsp.com under Member Resources. Members will need to log in to vsp.com to access the form.


May members visit a non-VSP provider?

Yes. If out-of-network coverage is included in your plan, members may obtain services from non-VSP providers. But, members will always get the best convenience, quality and value from their benefit with a VSP doctor.

Reimbursement for services from a non-VSP provider is according to a schedule with the same copays and limitations as services through VSP network doctors. Benefits could be substantially reduced at a non-VSP provider, and VSP cannot guarantee satisfaction or extend discounts when using a non-VSP provider.


How do members collect reimbursement after visiting an open access provider?

When services and/or materials are obtained from an open access provider, members have two reimbursement choices:

  1. Members can ask an open access provider to submit a request for reimbursement on their behalf. This means members won’t need to pay their entire bill up front and will only be responsible for paying applicable copays and any balance above their open access schedule.

     
  2. Members can pay the open access provider directly and submit a request for reimbursement to VSP, using the following procedure:
    1. Pay the open access provider the full amount and request an itemized copy of the bill. The bill should separately detail the charges for the eye exam and materials, including lens type.
    2. Include the following information with the bill:
      • the name, address, and phone number of the open access provider
      • The covered member's ID number
      • The covered member's name, address, and phone number
      • The name of the group
      • The patient's name, date of birth, address, and phone number
      • The patient's relationship to the covered member (such as self, spouse, child, student, etc).

      Members can write the information on the bill or use the printable form available when members sign on to view benefits information at vsp.com.

    3. Send a copy of the itemized bill(s) with the above information to VSP at:
      VSP
      P.O. Box 997105
      Sacramento, CA 95899-7105

    Please note that claims for reimbursement must be filed within six months of the date of service. Members will be reimbursed according to the open access reimbursement schedule.


What if I suspect fraud?

If you suspect fraud, please contact our Fraud Hotline at 800.877.7236. At VSP, we're dedicated to offering a benefit that's simple to use and worry-free.


What if I have questions regarding the American Recovery and Reinvestment Act?

VSP is providing this information on the American Recovery and Reinvestment Act (ARRA) as a resource for our clients, brokers, and members. This information is not a substitute for legal advice. If you need legal or tax advice regarding COBRA or ARRA, please consult your lawyer or tax advisor.



 

 

 

 

 

 

 

 

 



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