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Vision Plan Coverage

Vision Service Plan (VSP)

ACE, APA, Exempt, Food Service, Maintenance, Non-Represented, and TOTEM employees are covered by the Vision Service Plan.

These employees should check with their health plan providers for details on vision plan coverage:
AEA employees » Teachers	Local 71 employees » Custodians	Teamsters 959 employees » Bus drivers & attendants

Your Anchorage School District VSP WellVision Plan at a glance

Learn about the plan

How to use VSP

	An Eyecare Plan With You in Mind
	What's new at VSP (PDF) Learn about what's new - effective July 1, 2010 - with your VSP vision benefits including the VSP Open Access program
	VSP Vision Benefits Summary (PDF) Your vision benefits through the VSP program at a glance
	Group Vision Care Policy (PDF) The Evidence of Coverage document for the VSP plan

	Contact Information
	Member services: 1-800-877-7195 Web site: www.vsp.com Includes the following information: Locating a VSP doctor How to use your eye care benefits Eye care coverage information Answers to frequently asked questions about benefits and plan coverage Important eye care and health information including the importance of a thorough eye exam, information about vision difficulties and links to vision and general wellness Web sites
Note: In the event of a conflict between this information and your group or health plan's contract with VSP, the terms of the contract will prevail.

	Find a Provider
	If you do not have a VSP doctor, you can find one by: Checking the list; or Using the online directory service; or Calling 1-800-877-7195 VSP's member service center offers two ways to find a doctor near your home or office -- member service or automated telephone system. To speak to a member service representative, call between 9:00 a.m. and 9:00 p.m. Eastern Standard Time, Monday through Friday. Use your telephone keypad after hours and on weekends to verify your coverage or locate a doctor.

	Set an Appointment with your VSP Doctor
	Once you've found a doctor, call the office to make an appointment. Provide the following: Your name and that you're a VSP member Your VSP member group or employer Your Social Security number Your date of birth If you are making an appointment for a dependent, provide the member's name, member's social security number and dependent's date of birth. Your doctor will obtain authorization for services. If you are not eligible, the doctor will notify you. Keep your scheduled appointment and make any co-payments. You are responsible for additional costs from cosmetic options or non-covered services.

Out-of Network Providers

While 95% of VSP members chose a VSP Preferred Provider, plans also include a generous open access schedule. With VSP Open Access, members have reimbursement choices:

Members can pay the open access provider* directly and submit to VSP for reimbursement, up to their open access schedule.

Out-of-network Reimbursement Amounts
Exam	Up to $45
Single vision lenses	Up to $45
Lined bifocal lenses	Up to $65
Lined trifocal lenses	Up to 89
Frame	Up to $47
Contacts	Up to $170

95% of member reimbursement claims are processed within five business days and 99% are processed within 15 business days, with checks mailed to members daily.

Members can also ask open access providers to submit 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.

An open access provider is any eyecare or eyewear provider other than a VSP Preferred Provider.

Out-of-Network Claims

Claims must be submitted to VSP within six months from your date of service. Please keep a copy of the information for your records and send the originals to the following address: