VSP Vision Plan Overview
This page has information on the County's VSP vision insurance. VSP is the only carrier for vision through the County.
The County offers one vision plan through VSP. All employees are required to enroll. Vision coverage helps with the cost of eyeglasses or contacts. But even if you do not need vision correction, an annual eye exam checks the health of your eyes and can even detect more serious health issues such as diabetes, high blood pressure, high cholesterol, and thyroid disease. Yet many people may put off or skip visiting the eye doctor, not understanding that comprehensive eye exams are an important part of maintaining good overall health and wellness.
Vision ID Cards
VSP does not send ID cards to employees. Utilize the below information when you visit a VSP provider to access your benefits.
- Member ID: Employee’s Social Security Number
- Note: The Member ID for dependents is the Subscriber’s Social Security Number
- Group Name: County of San Luis Obispo
- Group Number: 00105558-01
Contact Information
VSP Vision
Phone: (800) 877-7195
Website: www.vsp.com
Group Number: 00105558-01
Reference
| VSP-2023-Summary-of-Benefits |
FAQs
VSP does not provide insurance cards. Simply provide your doctor’s office with the primary member’s SSN, and they will be able to find your coverage in their system. If you would like a ID card contact VSP for instructions on how to download one from their website.
If it has not been 24 months since you used your lens and frame benefit you will not be able to receive additional lenses or frames due to breakage or loss.
Contact VSP to learn about their Grievance Process and how you can submit a grievance to VSP.
Your VSP plan provides one eye exam in a 12-month period, necessary lenses and frames in a 12-month period. There is a $10 deductible for the exam and a $25 deductible for frames and lenses. Visit VSP’s web site for more details on your benefits.
When you visit a VSP network doctor, the frame you choose is covered up to $120. Plus, 20% off any out-of-pocket costs.
If you decide not to see a VSP doctor, you'll receive a lesser benefit and typically pay more out-of-pocket. We advise you call VSP (800-877-7195) before you see a provider not in the VSP network.
Yes, Vision coverage is mandatory for all employees, per Board resolution and all labor agreements.
Eligible dependents include husband or wife, domestic partner, and unmarried dependent children until their 26th birthday.
Newly acquired dependents, (birth, adoption, marriage) can be added to your vision plan within 60 days of the date of the event. You can also enroll dependents during the annual open enrollment period.
Dependents can be deleted when they lose eligibility (age 26, loss of dependent status, divorce, etc), or during the annual open enrollment period.
Yes. Under these circumstances you do not have to wait for open enrollment.
Vision coverage ends the end of the month following the month in which you terminate. Example: Employee terminates August 12, vision coverage ends September 30.
Yes. You can continue coverage for yourself and dependents for a maximum of 18 months through a federal law called COBRA, unless you have comparable group coverage available to you through another employer. The cost of coverage will be the monthly cost of insurance plus 2%.
Is COBRA coverage available to my dependent who is no longer eligible for my VSP plan?
Yes. COBRA coverage will normally be available for a maximum of 36 months. The cost for coverage is the monthly cost of insurance plus 2%.
For general questions regarding eligibility and costs you can contact Risk Management at ext. 5007. If you or a dependent is losing coverage you will automatically receive COBRA information from the Auditor-Controller’s Office. It is always advisable to notify the Auditor’s Office of your interest in COBRA coverage and to confirm they have your correct mailing address.
If a VSP member has a complaint/grievance regarding VSP and/or a VSP network provider, you may immediately call VSP Member Services at 800.877.7195, Monday through Saturday, 6:00 a.m. to 5:00 p.m. (Pacific Time). If a complaint is called in and not satisfactorily resolved within five (5) calendar days, you will receive a written acknowledgment letter and a written resolution letter within thirty (30) calendar days after receipt.
For written complaints, you may log on to vsp.com and complete the Member
Grievance/Complaint Form and send it to: VSP Complaints and Grievances, P.O. Box 2350, Sacramento, CA 95741. VSP will respond by mail to acknowledge receipt and/or provide the status of the complaint within five (5) business days. VSP will resolve your complaint within thirty (30) calendar days from the date of receipt and keep a copy of your complaint and the response on file for seven (7) years.
If the thirty (30) calendar day standard appeal process seriously threatens a covered person’s health or ability to function, the covered person can request an expedited, 24-hour, review of the complaint.
In accordance with State and Federal regulations, VSP will not discriminate against a member on the basis of filing a complaint or grievance.