Dental Q&A

Do I have dental coverage?

Call customer Service at 800-290-3657 or if you are insured through an employer, check with your Human Resources Department.

What services does my dental endorsement cover?

Generally, your dental endorsement covers preventive, basic, and major services as well as orthodontia. After the plan deductible is met, the above services apply coinsurance in the amount of 100% for preventive, 80% for basic, 50% for major, and 50% for orthodontia up to a maximum benefit of $1,000.

The maximum dental benefit per contract/calendar year is $1,000.

Do I have to use a participating dental provider?

No. You may use the dentist of your choice.
Please refer to your outline of coverage for full details. The above is only a summary.

Vision Q&A

Do I have vision coverage?

Call customer Service at 800-290-3657 or if you are insured through an employer, check with your Human Resources Department.

What services does my vision endorsement cover?

Your vision endorsement covers one comprehensive eye exam and/or refraction every 12 months for a $10 copayment when you use a participating VSP provider and a $100 hardware benefit.

Do I have to use a participating vision provider?

While there are advantages in using a participating VSP provider, you may use the provider of your choice. The benefit you receive depends on the status of the provider you select.

VSP Participating Provider
Non-Participating VSP Provider

Examination
Paid in Full After $10 Copayment
Up to $42 Per Exam*
(every 12 months)

Hardware (Lenses, Frames)
Up to $100 Allowance and 20% discount from usual fees
Up to $100 Allowance*
(every 12 months)

Elective Contacts (Instead of Frames and Lenses)
Up to $100 Allowance
Up to $100 Allowance*

*Customers may be required to submit claims for services received from non-participating providers directly to VSP for reimbursement. Please contact the VSP Customer Service Department directly at 1-800-877-7195 for assistance.

Out-of-Network claims should be mailed to:
VSP
Attn: Out-of-Network Claims
P.O. Box 997105
Sacramento, CA 95899-7105 or fax to VSP at 916-851-5152

How does my hardware benefit work?

Customers are eligible to receive up to $100 to apply to hardware purchases every 12 months. Hardware includes prescription frames, lenses and contacts. This benefit is available to members every 12 months beginning from the date of the first service. Members are responsible for the hardware costs that are greater than the $100 benefit.

Please refer to your Vision Endorsement for the actual details of your coverage. The above is only a summary.

VSP Provider Directory