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General Information

How the Plan Works

Option 1 If you choose a VSP participating provider

  • Choose a provider from the list of VSP participating providers.
  • Make an appointment for the exam. Identify yourself as having VSP vision coverage through Wright State University. You will need to provide your name, date of birth, and Social Security number of the WSU employee insured by the Plan.
  • The VSP provider will contact the Plan to verify eligibility and obtain information on Plan coverage. The provider will explain any additional charges. You will pay the applicable copayment at the time of service.

Option II If you choose an out-of-network provider

  • Pay in full for the services rendered at the time of service.
  • Obtain an itemized receipt which must contain the following information:
    • Patient’s name
    • Date of service
    • Services and materials received
    • Type of lenses (single vision, bifocal, trifocal, etc)
  • Mail the receipt and a note which includes the employee’s name, address, and Social Security number or you may print off a claim form from the HR website, Mail to:

    Out-of-Network Claims Department
    Vision Service Plan
    PO Box 997100
    Sacramento, CA 95899-7100

  • You will be reimbursed according to the Reimbursement Schedule for out-of-network providers. The claim must be filed within six months of service.

If you see a participating doctor for the exam and purchase the lenses/frames from a non-participating doctor or visa versa, the appropriate benefit for each applies.

 

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