Vision Service Plan

Rates / Plan Summaries Application Step-by-Step Directory Additional Benefits Forms Library

---

Rates / Plan Summaries

Rates

• Rates - California

Plan Summary

• VSP Plan Summary

Back to Top

Application step-by-step

Step 1 – select a plan from the Rates & Plan Summaries Section above

Step 2 – print out the VSP application from the Forms Library below and complete. (to find a VSP Doctor please click here)

Step 3 – PAYMENT METHOD

Print out Dental / Vision Payment Worksheet from the Forms Library below to determine final monthly payment.

There are two options for payment:

• Auto deduction directly from your checking account –
  Fill out the Kelsey Auto Deduction Form from the Forms Library below and attach a voided check
• Receive a monthly bill and mail in payment
  Prepare a check for the 1st months premium made payable to Kelsey National (NOT VANTAGE !!!)

(Please be aware that if you choose the monthly billing method and your monthly premium payment does not reach the processing center by the due date your policy may be cancelled.)

Step 4 – CCAE MEMBERSHIP

You must be a member of CCAE (California Council for Adult Education) in order to qualify for membership benefits.

If you are already a member, please proceed to Step 5.

If you are not a member please either:

• Print out and complete the membership form from the Forms Library below
• If you have questions you can contact CCAE membership at membership@ccaestate.org or call them at 888.542.2131

CCAE has a variety of membership plans available.

Step 5 – FINAL CHECKLIST AND MAILING

Put the following documents in an envelope and mail to:

Vantage Business Support & Insurance Services
Attn: Adult Educator Program
2363 Mariner Square Dr., Ste. 240
Alameda, CA  94501

or

Fax to 510-522-1906

1. Completed VSP application
2. Dental / Vision Payment Worksheet
3. Copy of CCAE card or application for membership
4. Auto Pay Form and VOID check or 1st months payment

Back to Top

VSP Doctor Directory

About Our Doctors

The best doctors provide the best care. We choose our doctors carefully based on their professional licensing, work history, education, malpractice history, professional liability and ethics.

Our optometrists are Therapeutic Pharmaceutical Agent (TPA) certified and our ophthalmologists are American Board of Ophthalmology (ABO) certified.

Our credentialing process complies with the National Committee for Quality Assurance (NCQA) standards. This guarantees you'll get quality care when seeing a VSP doctor.

VSP Doctor Directory

Back to Top

Additional VSP Member Benefits

Wellness – Style - Technology

VSP Member Benefits

Lots of interesting information on eye care – eyewear – lenses & Technology including:

• Eyecare – articles and videos on topics such as – allergies – cataracts – dry eye - glaucoma
• Kids Zone – coloring pages – games – fun facts
• Diabetes Discovery Center
• Vision Glossary
• Rebates & Special Offers
• Subscription to EnVision newsletter

Back to Top

Forms Library

• Benefit Enrollment Checklist
• Contact Information
• VSP Application
• Dental / Vision Payment Worksheet
• Kelsey Auto Deduction Form
• CCAE Membership Form
• Member Referral Form

Back to Top