Vision Plans  

Vision services for benefit eligible City of Mesa employees, retirees and their families is offered by Vision Service Plan (VSP). 

 

Coverage

Members enrolled in the Basic Plan will be covered for an exam once a year, lenses and frames (and contact lenses) once every two years; Vision Plus Plan members will receive all services once every year.      

Covered members who choose a VSP member doctor will receive a comprehensive vision examination (including dilation) for a $10 copay.       

Lenses and Frames may also be purchased at a $10 copay as well with a $130 frame allowance.  Any amounts over the $130 frame allowance will be at a 20% discount.  Single, Bifocal and Trifocal lenses are covered in full; Executive trifocals, Progressives and Oversized lenses are offered at a discounted rate.       

A $200 Contact Lens Allowance will also be available in lieu of Lenses and Frames.

For further information regarding your VSP benefits, please visit their website at www.vsp.com .

 

 

Out-of-Network Providers

Please complete the out-of-network claim form, attach your itemized receipts and mail to:

 

VSP
Attn: Out-of-Network Claims
PO Box 997105
Sacramento, CA 95899-7105

Important Notice

In order to process your claim the following information must be provided by the non-VSP provider on the itemized receipt.  Your claim cannot be processed if this information is missing.

  • The name of the provider
  • The name of the patient
  • The date of service
  •   A complete description of each service provided (exam, lens, frames or contacts)
  • The amount paid for each service

 

By enclosing the request for reimbursement form along with your itemized receipt your claim payment is expedited as it ensures we have all of the necessary information. 

 

 

Employee Benefits
20 E Main Street, Suite 600
Mesa, AZ 85201
Open Mon -Thurs 7am-6pm
(480) 644-2299 - Phone
(480) 644-4548 - Fax

Option 2: Medical/Dental Verify

Other Questions

Password Resets

Option 3: Claim Status

Option 4: Retiree Questions

Option 5: Flex Spending


E-mail (password resets cannot be done via email)

Forms

Federally Mandated Notices