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  2. Benefits
  3. CUSD Benefit Plans
  4. Vision Coverage

Vision Coverage

Vision Coverage

Clovis Unified School District is contracted with Vision Service Plan (VSP) to provide coverage to full-time and eligible part-time employees, dependents, and eligible retirees covered under the Plan.

During Open Enrollment, eligible employees have the option to enroll in the Vision Buy Up plan for an additional monthly premium rate. The plan year for vision coverage runs from January 1st through December 31st. For a detailed comparison between the Base & Buy Up plan, please click the Vision Plan Outline & Comparison flyer located under resources.

Below is a brief description of the in-network & out-of-network benefits available through VSP.

 

A red laptop icon with a magnifying glass, a 'Click Here' button, and contact information for VSP.

 

A list of vision care benefits, including one comprehensive eye exam every 12 months, one pair of standard lenses every 12 months, and one standard frame every 24 months.

 

Participating providers will submit claim forms to VSP & are directly paid. If you do not provide your insurance card or claim form with you at the time of your visit, you may be required to pay in-full for services rendered.

For detailed information outlining the VSP Vision Base Plan & the VSP Buy Up Plan (costs an additional charge of $6.34 per month for eligible employees), click the VSP Comparison Flyer located under Resources.

If services are rended by a non-participating provider, the insured will receive reimbursement based upon the Schedule of Allowance. The non-participating provider or the insured can submit an itemized bill, a copy of the member’s prescription, and a claim form to VSP for payment.

If covered services and/or materials are provided by a non-participating provider, charges will be paid but not to exceed the following Schedule of Allowances:

A price list for eye care services, including comprehensive examinations, lenses, and frames.

Benefit frequenies are the same as listed under the Participating providers section.

  • Lenses or frames which were furnished under the plan and which have been lost, stolen, or broken will not be replaced, except when benefits are otherwise available.
  • Eyewear when there is no prescription change, except when benefits are otherwise available.
  • Lenses such as no-line (blended type), varilux (progressive), flat-top 35, executive-style, coated, oversized, hi-index, polycarbonate, beveled or faceted, will be limited to the Schedule of Allowances.
  • Contact lenses will be limited to the Schedule of Allowances.
  • Conditions covered by Workers’ Compensation.
  • Services which begin prior to the insured’s effective date or after benefits have terminated.
  • Services & supplies in connection with special procedures such as orthoptics or vision training and subnormal vision aids.
  • Non-prescription (plano) eyewear.
  • Frame cases.
  • Tints, other than Rose and Pink #1 and #2, except when noted.
  • Contact lens fitting charges.
  • Contact lens insurance, care kits and supplies.
  • Medical or surgical treatment of the eyes.
  • Charges for which the insured is not required to pay.
  • Eye examinations required by an employer as a condition of employment.
  • Any service or material provided by another vision plan.

  • A list of vision care benefits, including one comprehensive eye exam every 12 months, one pair of standard lenses every 12 months, and one standard frame every 24 months.

     

    Participating providers will submit claim forms to VSP & are directly paid. If you do not provide your insurance card or claim form with you at the time of your visit, you may be required to pay in-full for services rendered.

    For detailed information outlining the VSP Vision Base Plan & the VSP Buy Up Plan (costs an additional charge of $6.34 per month for eligible employees), click the VSP Comparison Flyer located under Resources.

  • If services are rended by a non-participating provider, the insured will receive reimbursement based upon the Schedule of Allowance. The non-participating provider or the insured can submit an itemized bill, a copy of the member’s prescription, and a claim form to VSP for payment.

    If covered services and/or materials are provided by a non-participating provider, charges will be paid but not to exceed the following Schedule of Allowances:

    A price list for eye care services, including comprehensive examinations, lenses, and frames.

    Benefit frequenies are the same as listed under the Participating providers section.

    • Lenses or frames which were furnished under the plan and which have been lost, stolen, or broken will not be replaced, except when benefits are otherwise available.
    • Eyewear when there is no prescription change, except when benefits are otherwise available.
    • Lenses such as no-line (blended type), varilux (progressive), flat-top 35, executive-style, coated, oversized, hi-index, polycarbonate, beveled or faceted, will be limited to the Schedule of Allowances.
    • Contact lenses will be limited to the Schedule of Allowances.

    • Conditions covered by Workers’ Compensation.
    • Services which begin prior to the insured’s effective date or after benefits have terminated.
    • Services & supplies in connection with special procedures such as orthoptics or vision training and subnormal vision aids.
    • Non-prescription (plano) eyewear.
    • Frame cases.
    • Tints, other than Rose and Pink #1 and #2, except when noted.
    • Contact lens fitting charges.
    • Contact lens insurance, care kits and supplies.
    • Medical or surgical treatment of the eyes.
    • Charges for which the insured is not required to pay.
    • Eye examinations required by an employer as a condition of employment.
    • Any service or material provided by another vision plan.

Resources

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Links

  • Red icon with an eye
    VSP Provider Portal

    Click here to access VSP's online portal to start searching for a provider.