chevron vision program

You are required to verify the eligibility of any new dependents you enroll in your Chevron health plans. You have up to 60 days to obtain and submit requested documentation that verifies your dependent(s) are eligible to participate in Chevron’s health benefits. If you don’t provide acceptable documentation by the deadline, your dependent(s) will be disenrolled from coverage. Learn more about this process.

A network is a group of independent medical providers that have agreed with your health plan claims administrators to charge contracted fees for services provided to plan members. The VSP provider network is made up of primarily private-practice vision providers across the United States. All VSP private practice doctors provide exams and have materials, such as glasses and contacts, available in their office. 

Retail chain network providers 
VSP members can choose to see a VSP doctor, a participating retail chain provider, or an out-of-network provider. You can choose to visit a Retail Chain Affiliate Provider for added convenience and additional retail locations. These providers are network providers, so network benefits will apply. Retail Chain Affiliate Providers include Visionworks, WisconsinVision, Heartland Vision, Rx Optical and Cohen's.

What happens when I use an out-of-network provider?
You still have the option to see an out-of-network provider for exams or to purchase materials, if you desire, but note that the out-of-network benefit will apply. You may be responsible for paying your vision provider the full amount and submitting a claim to VSP after the visit to request reimbursement.

A note about Costco
We know many employees use Costco for their prescription eyewear. Costco is an out-of-network provider, so out-of-network benefits will apply. But, unlike other out-of-network providers, Costco can submit your claim to VSP. In addition, out-of-network coverage with Costco includes standard progressive lenses fully covered after a $40 copayment.

If you visit a network provider, your provider will usually handle all claims and paperwork for you. If you visit an out-of-network provider you may have to pay the cost out-of-pocket and/or be billed directly from the provider. To be reimbursed for covered services, you’ll have to file a claim form with the claims administrator.

To ensure timely payment, you should file your claim as soon as you can. You must file a claim for payment of benefits no later than 365 days from the date in which service was provided. If you don’t file a proper claim with VSP within this timeframe, benefits for that service will be denied.

Your Chevron Vision Program coverage ends when your Chevron medical plan ends. Active employee medical coverage, if enrolled, continues until the last day of the month in which your employment ends. 

• You can elect COBRA coverage for you and your covered dependents for your medical plan, which will include continued access to prescription drug and basic vision coverage. If  you timely elect COBRA coverage, your coverage will be retroactive to the date your active employee coverage ended. If you wish to continue medical coverage (and therefore basic vision coverage), you must make an election to continue it.
• Medical - and basic vision - coverage is available to eligible retirees. If you're eligible for retiree health benefits, there are different decisions and actions required of you. 
  • See if you're eligible for retiree health benefits on BenefitConnect. Go to I need to… on the top navigation, then choose Retiree medical eligibility.
  • Learn about health benefits available to eligible pre-65 retirees here.
  • Learn about health benefits available to eligible post-65 retirees here.

If you are enrolled in the Global Choice Plan (U.S.-Payroll Expatriate) or the Global Choice Plan (Expatriates in the U.S.), then you’re also automatically enrolled in the Chevron Vision Program for basic vision coverage.

• If you receive covered services outside the U.S., the nonpreferred (out-of-network) level of benefits will apply. You will also need to pay for the service and file a claim for reimbursement later.
• However, if you use a VSP preferred provider while you're in the U.S., the preferred provider level of benefits will apply for covered materials and services.

The documents listed below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD) since the last publication date. Be sure to review the SMM for an understanding of important plan updates.

• "Other dependent" legal guardian administrative clarification (January 1, 2021)
• New address for benefits correspondence (June 1, 2020)
• New dependent verification requirement (January 1, 2019) | Learn more
• New qualifying life event (January 1, 2019)
• Employee after-tax contributions eliminated (January 1, 2019)
• New fee for insufficient funds (January 1, 2019)

Review the benefit summary and highlights to understand basic information about your plan, such as benefits, copayments, deductibles, coinsurance and plan contact information.

• 2022 Vision Plus Program Summary and Highlights (Medical PPO, HDHP, HDHP Basic, Global Choice Plans)
• Go to the SBC section of this website to locate the document for your Medical HMO plan