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Benefits Administration

Healthcare Plans

Vision Insurance Program

Vision Service Plan (VSP) administers all vision benefits and claims on behalf of the employer-paid California State University (CSU) Vision Plan.

Visit VSP for a current provider list at http://www.vsp.com.

VISION GROUP NUMBER - 12292796

The Certificate of Coverage which provides full details of the coverage, limitations, and exclusions is available in the Human Resource Services, University Hall, Room 185. In addition to the certificates, provider directories and claim forms are also available. You may also request the material by contacting Monica Escontrias at (818) 677-3810 or Cathy Salazar at (818) 677-2119.

Who is VSP?

Founded in 1955, VSP is dedicated solely to providing eyecare wellness benefits through an exclusive network of independent eye doctors. These independent eye doctors are an important component of VSP's focus on eye health, diseases and conditions, and are grouped in the VSP Select Network, which has approximately 17,000 providers.

What does VSP provide?

  1. Convenient Customer Service Hours:
    VSP offers extended customer service hours, and their representatives are available Monday-Friday, 5:00 a.m. to 7:00 p.m. and on Saturday, 6:00 a.m. to 2:30 p.m. via their toll-free telephone number: (800) 877-7195.
  2. Account Information Access:
    VSP has an automated Interactive Voice Response (IVR) system and Website that is available 24 hours a day, for the purposes of providing personalized information on eligibility, plan coverage, past service, online messaging to customer service, as well as information regarding doctors in the VSP Select Network. The VSP website is: http://www.vsp.com.
  3. Commitment to Eye Health:
    VSP has developed a comprehensive Eye Health Management Program that includes:
    Eye education, Patient Eyecare Report, Diabetes Awareness Program, communication with participants' Primary Care Physician (PCP), and Eye on Health, an annual eye wellness newsletter.

Benefits Under the CSU Vision Plan

  1. In-network frame allowance: $95.00
  2. Out-of-network frame allowance: $60.00
  3. In-network contact lens allowance: $120.00
  4. Poly carbonate lenses are covered for dependent children in-network up to age 23
  5. Discounts of approximately 15% for laser correction surgery are available.

Frequency of Benefits Access Based on Calendar Year:

The frequency of benefits are based on a calendar year, rather than calculated from the last date of service. For example, if an employee has an eye exam in February 2007, he/she will be eligible for another eye exam on January 1, 2008.

Ease of Claims Processing:

Claim forms are not required when using standard in-network benefits. Employees that choose to use a non-VSP provider will need to submit reimbursement based on out-of-network allowances.

Reimbursement forms may be obtained two ways:

  1. Online at http://www.vsp.com
  2. Visit the Office of Human Resource Services, UN 165.

A claim form is still required when requesting video display terminal (VDT) benefits (.pdf), whether using a VSP Select Network doctor or a non-VSP provider. Employees who meet the CSU requirement for VDT coverage can obtain the form online (.pdf) or from the Office of Human Resources.

The Member Benefits Summary for additional coverage information, including co-payments and out-of-network allowances may be viewed online at http://www.vsp.com.

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