Supplemental vision is a plan that allows full-time employees to obtain the same vision benefits they enjoy for their dependents. The VSP Choice Network provides for an extensive nationwide network of doctors who provide care and materials. This plan is designed to assist vision maintenance by providing regular eye examinations and benefits for other vision care expenses including glasses or contact lenses. An OCEA member may enroll his or her dependents in supplemental vision any time throughout the year.
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Eligibility
Almost all OCEA members are eligible for enrollment in this coverage. If you have any questions regarding eligibility, contact VSP at (800) 877-7195.
Dependents are generally your legal spouse, registered domestic partner and children.
Your children can be covered under your dental and vision plans until they reach age 26:
• Child must not be eligible for any other employer dental and/or vision plan.
• Child does not need to be a full-time student.
• Child can be married or unmarried.
• Spouses and children of dependent children are not eligible for coverage.
• Any child of the employee regardless of dependency status under IRS rules.
How the Plan Works
Step One:
When you are ready to obtain vision care services, call your VSP participating doctor. If you need to locate a VSP participating doctor, call Vision Service Plan at (800) 877-7195 or visit the VSP website at
www.vsp.com.
Step Two:
When making an appointment, identify yourself as a VSP member. The participating doctor will also need your identification number and group name. The participating doctor will contact VSP to verify your eligibility and obtain authorization for services and materials. If you are not eligible, the VSP doctor will notify you.
Step Three:
At your appointment, the participating doctor will provide an eye examination and determine if eyewear is necessary. If so, the participating doctor will coordinate the prescription with a VSP-approved contract laboratory. The participating doctor will itemize any non-covered charges and have you sign a form to document that you received services. VSP will pay the participating doctor directly for covered services and materials. You are responsible for paying the doctor a $5 copayment for the eye examination and a $20 copayment for lenses and/or frames. You are responsible for any additional costs resulting from cosmetic options, or non-covered services and materials you have selected. Selecting a participating doctor from VSP’s network assures direct payment to the doctor and guarantees quality services and materials.
Finding a VSP Provider
It’s easy to find a VSP provider. You may log on to the VSP website at www.vsp.com and use the doctor directory to look for a provider in the Choice Network. Or you can call the VSP Member Services phone number at (800) 877-7195.
How to Enroll
Complete the supplemental benefits enrollment form and return it to OCEA. An OCEA member may enroll in this plan for the member and dependents at any time.
When Coverage Begins
The effective date of coverage will be determined by OCEA, and you will be contacted concerning the exact day coverage begins.
Cost of Coverage
Your premiums for supplemental vision coverage are paid through regular twice-monthly payroll deductions. Please refer to the Supplemental Benefit Costs section of this guide for current rates.
