Vision Benefits
The Clovis Unified School District offers VSP Vision Base coverage to those enrolled in 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.

Participating providers will submit the claim form to Vision Service Plan and are paid directly. If you do not bring your claim form with you at the time of your visit, you may be required to pay in full for the services.

If services are received from a non-participating provider, reimbursement will be made to the insured up to the Schedule of Allowances. You, or the provider should submit an itemized billing and a copy of your prescription with the claim form to Vision Service Plan.

The information below is a brief outline of the plan and is not to be accepted or construed as a substitute for the provisions of the contract.

The VSP Vision Plan provides full benefits for covered services and/or materials when you go to a participating provider for:

• One comprehensive examination in any 12 consecutive months
• One pair of standard lenses in any 12 consecutive months
• Standard lenses fit any frame with an eye size less than 61mm
• One standard frame in any 24 consecutive months 
• A standard frame is any frame that has a maximum retail cost of $105.00 or less
• In lieu of lenses and frames, one pair of contact lenses in any 12 consecutive months.

1. If contact lenses are for cosmetic or convenience purposes, the plan will pay up to $105.00 toward their cost. Any balance is remaining is the patient's responsibility.
2. If contact lenses are medically necessary, they are a fully covered benefit:

• Following cataract surgery; or 
• When visual acuity cannot be corrected to 20/70 in the better eye except through the use of contacts; or 
• When necessitated by anisometropia or certain conditions of keratoconus. 
• Prior authorization from Vision Service Plan is required.

For detailed information outlining the VSP Vision Base Plan, click the VSP Comparison Flyer to the right of the page.

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:

**This allowance is in lieu of other eyewear.
Benefit frequencies are the same as listed under the Participating Providers section.