| How to Reach Us |
Telephone Numbers
Member Services................ 800-507-3800
Provider Nomination........... 800-923-6766
TDD (Hearing Impaired)...... 916-852-2382
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Member Services/
Claims Administration Offices
11101 White Rock Road, Suite 150
Rancho Cordova, CA 95670
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Claims Billing Address
P.O. Box 967
Rancho Cordova, CA 95741
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Web Site
Check your benefits and current provider listings at
www.superiorvision.com.
An email link to
Superior Vision Member Services is available. |
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Limitations & Exclusions
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Limitations (options at additional cost)
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| The Superior Vision Plan is designed to provide your basic eyewear needs. It
does not cover items that are considered cosmetic or elective. The following
options will require an additional charge over the covered benefit. Pay
any additional charge directly to your provider.
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| Example: Standard design bifocal lenses are a
covered benefit. Blended (no-line) bifocals will require an additional charge. |
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Replacement frames and/or lenses.
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Blended (no-line) and/or multi-focal lenses
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Beveled and/or faceted lenses
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Coated lenses
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Polycarbonate lenses
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Oversized lenses
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Cosmetic lenses
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Frames greater than the plan allowance
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| Exclusions (product & services not covered under the
insured benefit) |
| There is no benefit coverage for the following products and services: |
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Non-prescriptive (plano) eyewear
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Vision training
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Progressive lenses
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Tints on lenses (except Rose or Pink tints #1 or #2)
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Low vision aids
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Orthoptics
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Eye exams required by an employer as a condition of employment
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Services and materials provided by another vision plan
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Conditions covered by workers’ compensation
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Frame cases
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