Contact type and description Contact information VSP complaints Call: 1-844-299-3041 Monday–Friday: 6 a.m. to 8 p.m.; Saturday: 7 a.m. to 8 p.m.; Sunday 8 a.m. to 8 p.m. (Pacific) Deaf, DeafBlind, Late Deafened and Hard of Hearing members call (TTY): 1-800-428-4833 Monday–Saturday: 6 a.m. to 5 p.m.; Sunday 5 a.m. to 8 p.m. (Pacific) Visit: VSP website at vsp.com/contact-us/grievance and complete the online form. Mail: Vision Service Plan Attention: Complaint and Grievance Unit PO Box 997100 Sacramento, CA 95899-7100 VSP Claims Call: 1-844-299-3041 to request a VSP Member Reimbursement Form. Monday–Friday: 6 a.m. to 8 p.m.; Saturday: 7 a.m. to 8 p.m.; Sunday 8 a.m. to 8 p.m. (Pacific) Deaf, DeafBlind, Late Deafened and Hard of Hearing members (TTY): 1-800-428-4833 to request a VSP Member Reimbursement Form. If you are outside of the U.S. and you need to submit a claim form for services received outside the U.S. dial the exit code of your country, which is typically 00, and then 1-916-851-1375. Monday–Saturday: 6 a.m. to 5 p.m.; Sunday 5 a.m. to 8 p.m. (Pacific) Visit: VSP website at vsp.com/claims/submit-oon-claim and select “Start new claim” to submit an out-of-network claim online Mail: Vision Service Plan Attention: Claims Services PO Box 495918 Cincinnati, OH 45249-5918 Directory: prescription drug services Contact type and description Contact information Prescription drugs Washington State Rx Services (WSRxS) Contact customer service, locate Call: 1-888-361-1611 (TRS: 711) network pharmacies, ask Monday–Friday: 7:30 a.m. to 5:30 p.m. (Pacific) prescription drug questions, Available outside these hours with limited services. access your WSRxS account, and Visit: Prescription drug coverage webpage at check prescription drug prices ump.regence.com/pebb/benefits/prescriptions Network mail-order pharmacies Costco Mail-Order Pharmacy 2024 UMP CDHP (PEBB) Certificate of Coverage 5
UMP Consumer-Directed Health Plan (CDHP) COC (2024) Page 5 Page 7