VSP

Contact Us

VSP

PO Box 385018
Birmingham, AL 35238-5018

Hours of Operation

M-F 6am-8pm

Contact Information

1-800-877-7195
www.vsp.com

Important Documents, Forms & Notices

Plan Document

Vision Certificate of Coverage

Federally Mandated Notices

Reimbursement/Claim Form

Tools

Finding a Vision Provider

Vision Plans (Retiree)

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The City of Mesa has contracted with Vision Service Plan (VSP), to deliver our vision benefit program including coverage, verification and claims processing.  Members may contact VSP customer service Monday through Friday, 6am to 8pm MST, or visit the member portal at any time.

Vision Contact Information/Claims Address:

 Vision Plan administered by: VSP
 Address: PO BOX 385018, Birmingham, AL 35238-5018
 VSP PPO Network: VSP Preferred Provider Network 
 Group Number: 300167772
 Customer Service Number: 1.800.877.7195
 Website: www.vsp.com


City of Mesa Vision Plan Highlights:

Members may choose among three different vision plans depending upon coverage needs.

Vision Features Basic Vision Plan Vision Plus Plan
In-Network Out-of-Network In-Network  Out-of-Network

 Frequency of Services

  • Exams
  • Materials
  • Contact Lenses

  • Once every calendar year
  • Once every other calendar year
  • Once every other calendar year
  • Once every calendar year
  • Once every calendar year
  • Once every calendar year
 Well Vision Exam $10 copay Up to $45 allowance $10 copay Up to $45 allowance
 Frames Up to $130 allowance Up to $70 allowance Up to $130 allowance Up to $70 allowance

 Lenses

  • Single
  • Bifocal
  • Trifocal
  • Lenticular

$10 copay
  • Up to $40 allowance
  • Up to $60 allowance
  • Up to $80 allowance
  • Up to $100 allowance
 $10 copay
  • Up to $40 allowance
  • Up to $60 allowance
  • Up to $80 allowance
  • Up to $100 allowance

 Lens Enhancements

  • Stnd/Cust/Prem
  • UVA/UVB Coating
  • Polycarb Lenses

• Available at a discount
• Available at a discount
• $10 copay ($0 for
   children under 18)

N/A

• Available at a discount
• $10 copay
• $10 copay ($0 for
   children under 18)

N/A

 Contact Lenses
 (In lieu of eyeglasses)

  • Fitting and Eval
  • Elective
  • Medically Necessary

          • Up to $60 copay
                   • Up to $200 allowance
• $10 copay


Vision Plan Monthly Premiums (Retiree):

Below are the monthly Retiree contribution amounts for the Vision Plan coverage.

 Tier Basic Vision Plan Vision Plus Plan
 Retiree Only $1.00 $4.93
 Family $7.65 $18.45

FAQs

  • How do I register online with VSP?
  • Why don't I have a Vision Plan ID card?
More FAQs