Vision Service Plan

Your CCPOA Benefit Trust VSP vision plan now offers you frames and lenses every 12 months!

What Is It?

Our vision services provider is Vision Service Plan (VSP), the nation's largest eye care doctor network. VSP provides high quality vision care to CCPOA members.

There are no claim forms or membership cards.

Benefits include 2 pair of frames and lenses each year, as well as coverage for contact lenses and additional discounted services.

Plan services are different for Active, Retired and Supervisor members.

Who Can Apply?

Fairshare; Rank and File; Supervisor; Retired

What Does it Cost?

ACTIVE: $2.00 out-of-pocket member cost. The actual cost of the VSP plan $15.30/mo. The outstanding balance is split between the State and the Trust.
Supervisor: The Trust’s VSP ‘Second Pair benefit” is in addition to your CoBen “Basic Vision” plan. Supervisors pay $0 for this additional coverage.
RETIRED: Plans start at $2.41/mo.

See VSP Highlights

A complete VSP benefit listing can be downloaded in our:
Catalog of Benefits.

INFO CENTER:

Supervisor Member Info

What Does It Cost?
Effective January 2014

VSP CoBen = $8.64 monthly

As a Supervisor you are AUTOMATICALLY enrolled in the state funded vision plan, also through VSP. Your FIRST pair of glasses is through this plan.

Vision coverage through the Trust provides you a SECOND PAIR benefit. Supervisors pay $0 for this additional coverage.

Visit www.calhr.ca.gov for information on this coverage. Your monthly premium for VSP coverage is part of your CoBen benefit.

The Trust's VSP second pair benefit is in addition to your CoBen "Basic Vision" plan.

Retired Member

What Does It Cost?
Effective January 2017

STANDARD Plan
Member only: $9.20
Member + 1 Dependant: $13.19
Member + Family: $23.54

EXAM + PLAN
Member only: $1.98
Member + 1 Dependant: $2.72
Member + Family: $4.65

Retired: VSP Copays
Exam: $10.00
Prescription Glasses: $25.00
Contacts: No Copay Applies

Brochures & Applications

Active Members are automatically enrolled.
No application needed.

Retired VSP Brochure

Retired VSP Application

Retired CCPOA Membership Application

Forms & Documents
No forms are needed. Your VSP doctor handles all paperwork.

VSP Data Sheets for just your plan:

No need to apply - this benefit is already yours!

VSP benefits are designed to provide for your essential vision needs. Certain cosmetic or elective eyewear options may be at some additional cost to you. Before selecting your eyewear, ask your vision care professional which options are fully covered by your Vision Service Plan, or view your personalized information at: www.vsp.com

VSP takes the privacy of their members protected health information seriously. They are committed to ensuring that the confidential data they manage on behalf of their clients and members stays that way. For more information, please see the VSP Notice of Privacy Practices.

WHAT DOES IT COST?

Active Members:
Starting January 1, 2014 the monthly member premium for the VSP benefit: $2.

The actual cost of the VSP plan $15.30/mo. The outstanding balance is split between the State and the Trust.

ADDITIONAL LINKS & RESOURCES

VSP website

VSP Grievance Notice

Effortless Benefits. Choose a VSP doctor at www.vsp.com or call 800-877-7195.

Make an appointment and tell the doctor you are a VSP member. That’s it! No ID cards or filling out claim forms.


Benefit Highlights

Effective January 1, 2014

Shatterproof Lenses
for children are covered 100%
Exam
every 12 months covered in full after copay
Prescription Glasses
Lenses every 12 months
Single vision, lined bifocal and lined trifocal lenses including tinted and photochromic lenses. Covered in full after copay.
Frames
every 12 months
Frame of your choice covered up to $120.

OR

Contacts
every 12 months
When you choose contacts instead of glasses, your $110 contact allowance applies to the cost of your contacts and the contact lens exam (fitting and evaluation). This exam is in addition to your vision exam to ensure proper fit of your contacts.
AND
Second Pair Benefit - every 12 months
This enhancement allows you to obtain a second pair of prescription glasses or contact lenses subject to the same plan limits as noted above.

Now at Costco costco

Costco is now part of the VSP Open Access network. That means you can use your VSP benefits for exams and glasses at Costco, and get the discount pricing they are known for.

Examination $47
Single Vision $30
Bifocal $50
Trifocal $60
Lenticular $75
Tints $5
Frame $45
Elective Contact Lenses $100
Necessary Contact Lenses $210                

Additional Highlights

  • 20% Discounts for non-covered lens options like progressives, anti-reflective coatings and more
  • Polycarbonate (shatterproof) lenses are now fully covered for children
  • You will get a 20% discount for additional complete pairs of glasses at the same provider
  • More for your frames! You will automatically get an extra $20 to spend when you choose a featured frame brand like bebe®, ck Calvin Klein, Flexon®, Lacoste, Michael Kors, Nike, Nine West, and more.

VSP Grievance Process

To All California-Based Subscribers and Enrollees:

Vision Service Plan members are entitled to receive annual notification of their plans’ grievance processes. As a result, this notice contains information regarding VSP’s grievance system, including the methods by which VSP members can communicate their comments to VSP.

At VSP, we’re dedicated to continually providing exceptional service to our members. By listening to the needs of our customers–whether they have complaints or compliments–VSP can deliver the kind of personalized care and service we’d expect for ourselves.

Sincerely, VSP Vision Care

Grievance Process Notice