Vision - OFFICE OF GROUP INSURANCE

Vision Benefits

Regence BlueShield of Idaho contracts with Vision Service Plan (VSP) to provide the vision benefit. When you use a VSP provider, you pay a $20 copay for exams and receive a frame allowance of $130. Service frequency limitations apply. If you choose to use an out-of-network provider, you are still eligible for the service reimbursement listed below. Pediatric vision benefits did not change.

Important Links

The links below provide information further detailing the State’s current vision plan.

FY25 Vision Benefit Summary
FY25 Vision Policy & Contract
Premiums
Finding a VSP Provider – VSP
Resources line for contacting VSP at 1-844-299-3041

FY24 Vision Policy & Contract

Pediatric Vision

(under age 19)

Pediatric vision benefits are now covered by the plan at 100% when using a participating provider. Out of network services are covered at 50%. NOTE – Costco and Sam’s Club are not in-network providers for dependents under age 19. If you do use one of those providers for your children, you will only be eligible for the out-of-network reimbursement amount.

Per benefit period, Insureds, under age 19, may receive:

One (1) eye exam

One (1) pair of spectacle Lenses or Contact Lenses

One (1) Frame (selection may be limited by provider)

For more information about your pediatric vision benefit, review the PEDIATRIC VISION CARE BENEFIT provisions in each of the medical plan contracts posted on the OGI Medical webpage.

NOTE: Retail providers that may be listed under the adult plan MAY NOT be in-network providers for the pediatric plan.

Vision FAQs

Do I have to use a VSP network vision care provider?

You can use the vision care provider of your choice. The advantage of using a VSP network provider is that VSP network doctors contact VSP to verify your eligibility, plan coverage, and to obtain authorization for services. Upon completion of the appointment, the VSP network doctor submits the claim to VSP for processing and VSP pays the doctor directly.

Will my VSP network vision care provider bill my insurance?

There are no claim forms to complete when you see a VSP doctor. VSP network doctors contact VSP to verify your eligibility, plan coverage, and to obtain authorization for services. Upon completion of the appointment, the VSP network doctor submits the claim to VSP for processing and VSP pays the doctor directly.

How do I submit a claim for a non-network vision care provider?

If you choose to see an out-of-network provider rather than a VSP Network Doctor, you will need to submit a claim to VSP for reimbursement.

Visit the Benefits & Claims section of the VSP website to submit a claim. You’ll have the opportunity to upload receipts or submit them by mail. Please submit your itemized receipt(s) along with the out-of-network reimbursement form. VSP will reimburse you the allotted amount based on your benefits.