Filing Claims

For out-of network reimbursement, the participant must pay the entire bill at the time of service, then send the following information to VSP:

• An itemized receipt listing the date of services and an itemized list of services received;
• The participant's name, Social Security Number, phone number and address;
• The group number (#12180678);
• The patient's name, date of birth, phone number and address; and
• The patient's relationship to the participant (such as "self," "spouse," "child," etc.).

Claims for reimbursement must be submitted within six months of the date of service. Participants should keep a copy of the information for their records and send the originals to:

Vision Service Plan (VSP)
P.O. Box 997105
Sacramento, CA 95899-7105

Participants should contact VSP with any questions about coverage at 1-800-877-7195.