Maintaining good vision is crucial for overall health and well-being. If you are a San Francisco Health Plan Medi-Cal member, accessing vision care is straightforward and affordable. Your vision services are provided through Vision Service Plan (VSP), a leading vision benefits provider. Understanding your benefits and how to find Eye Doctors That Accept Medical (Medi-Cal) is the first step towards ensuring your eye health.
Finding an eye doctor that accepts your Medical insurance is simple with VSP. To locate a participating provider, visit the VSP website at vsp.com or call their member service line at 1(800) 438-4560. VSP’s provider directory will give you the contact information for eye doctors in your network. When you contact a VSP provider, identify yourself as a VSP member. The eye doctor’s office will then verify your eligibility and coverage under your Medi-Cal plan. Once verified, you can schedule your eye exam appointment. If for any reason you are not eligible for services at that time, the VSP provider will inform you and VSP can provide further assistance.
What vision benefits are available to you as a Medi-Cal member? For both children under 21 and adults 21 and older, your benefits include eye exams with an optometrist every 24 months. Coverage extends to frames and lenses should you need glasses. Furthermore, recognizing the heightened risk diabetes poses to eyesight, SFHP members with diabetes receive even more comprehensive care. If you have diabetes, your routine dilated eye exams with VSP optometrists are covered annually, every 12 months. Beyond routine exams, there are no limitations on the frequency of medically necessary eye exams by ophthalmologists, nor are there limitations on treatments for retinal issues. If your primary eye doctor determines you need more specialized care, they can refer you to an ophthalmologist for further evaluation and treatment.
For any further questions regarding your Medi-Cal vision benefits, San Francisco Health Plan Customer Service is available to assist you. You can reach them via email through their contact form or by calling 1(800) 288-5555, Monday to Friday, 8:30am to 5:30pm. Taking care of your vision is an essential part of your healthcare, and with VSP and San Francisco Health Plan, accessing quality eye care is within easy reach.
