Orders are identified by the word Repair indicated in the Benefit Type box. Contact us for recommendations on VSP Choice options for your clients. Enroll in the High Option to enjoy enhanced benefits, like a higher frame allowance and more fully covered lens enhancements. You may have the right to request access to and receive information about the personal information we maintain about you, update and correct inaccuracies in your personal information and have the information blocked or deleted, as appropriate. Dental and vision products underwritten by Nationwide Life Insurance Company, Columbus, OH in NY, DE, ID, LA, UT, OH, TX and NM. is not required to agree to a requested restriction. All VSP contract labs participate in the Signature Plan, which offers competitive prices to VSP members and groups. For questions about this notice or your privacy, contact our HIPAA Privacy Officer through Contact us at 1 (800) 648-1179 and we will work with you (and, if necessary, your doctor) to find another way for you to earn the same reward. Vision insurance products underwritten by Vision Service Plan (VSP) in WA. EyeMed Access Plan A: $15.02 per month. VSP does not control or maintain Third-Party or Contractor sites. containing your Protected Health Information to your home. If you are a participating California Medicaidlab, it is advisable that you contact the doctor to verify that the order does not require the use of a PIA lab. The best plan is use VSP for your eye exams, and get a copy of your contacts and glasses prescriptions. involved in your care or payment if the information is relevant to their involvement and you have location. If you believe that your privacy rights have been violated, you may submit a complaint to VSP or necessary for: Disclosure to VSPs Business Associates our next annual mailing. VSP is required to abide by the terms of this notice currently in effect by: Notice Revisions For example, if a doctor orders a pair of progressive lenses and your private price for the progressives is $100.00 and your private price for bifocals (base lens) is $30.00, charge the doctor $70.00 for the add-on ($100-$30=$70) as well as the bifocal fee listed on the National Medicaid Plan Fee Schedule. To learn more about what is and is not covered by VSP, check your plan's 2021 certificate of coverage by visiting Forms and publications at hca.wa.gov/ump-coc. The name Vision Service Plan and the registered logo(s), service mark(s), and If any changes are made to these Terms of Service, such changes will be promptly reflected in the terms set forth online. Members are encouraged to review benefit information on vsp.com. You can recognize a Plano plan by the word "Plano" in the Benefit Type box. LEARN MORE LEARN MORE VSP supplements health plans for what is Your personalized benefit information is at your fingertips. VSP Choice Plan B: $12.22 per month. VSP will pay you your base lens prices and Choice/Advantage Plan option fees for material ordered and supplies to VSP doctors. Information. 800.807.0764. These high quality plans are versatile and cost competitive. legal process or as otherwise required by law; limited information requests for identification and location; use or disclosure related to a victim of a crime; suspicion that death has occurred as a result of criminal conduct; in a medical emergency where it is likely that a crime has occurred. Orders Doctors are instructed to order materials from your lab on a private paper order form or through Eyefinity when comment codes L020 or L098 appear. For frames, you get a $150 allowance, plus 20% savings on any amount over that allowance. I liked how simple it was to switch from the plan I had with the company I was working for. VSP is prohibited from using or disclosing your genetic information for underwriting purposes. You have a right to inspect and obtain a copy of your Protected Health Information. services include, but are not limited to If it becomes necessary to disclose any of your Protected Health is not required to agree to a requested restriction. services include, but are not limited to VSP Signature & VSP Choice Plans Below is a summary of benefits available through VSP's Signature and Choice Plans. Our mission . LEARN MORE LEARN MORE You should consult with an appropriate tax professional to determine if you have any tax obligations from receiving rewards under this program. Vision insurance may also reduce employees' out-of- pocket cost for prescription glasses and contacts. Doctors are instructed to order Medicaid orders from your lab on a private paper order form or through Eyefinity. provision of health care to a VSP patient, or payment for the provision of health care to a VSP Supplemental vision benefits are provided through the Vision Service Plan (VSP) Choice Network. Any data used to serve targeted advertisements is deidentified and is not used to personally or directly identify a user. Questions? You may exercise any of your below rights by calling our Member Services Department at Direct Vision's plans have the following monthly charges, as of 2022: VSP Choice Plan A: $15.97 per month. Already a VSP member through FEDVIP? Vision Service Plan Vision care coverage is now available through Vision Service Plan (VSP) as an optional benefit. VSP reserves the right to revise the terms of this notice, and to make the revised terms available to plan participants through VSP's well-trained and helpful service representatives. We may provide general reports on email subscription usage but we will not share email addresses or any personal information that allows for identification of individuals except as described herein. Get personalized eye care from a VSP network doctor at low out-of-pocket costsno matter what plan you choose. Whether youre looking for classic frames or trendy styles, youll find the best selection of frames at your VSP doctors office. If the benefit type is not Plano, but 0.00 is indicated in the sphere field, please call VSP at 916.851.4900 to verify that the patient is eligible for Plano lenses. We will not sell or use the information outside of VSPs family of companies. legal process or as otherwise required by law; limited information requests for identification and location; use or disclosure related to a victim of a crime; suspicion that death has occurred as a result of criminal conduct; in a medical emergency where it is likely that a crime has occurred. VSP will only use and disclose your Protected Health Information without your authorization when Links to documents outside of this publication are provided as a convenience and do not necessarily reflect the views or opinions of the staff or management of VSP. Request to Restrict Your Protected Health Information VSP Billing If you do not have a mobile device you can obtain Beam Perks by contacting Customer Operations at 1.800.648.1179. You may also (Beam Dental Insurance Administrators LLC, in Texas). VSP has taken reasonable steps to ensure that the information on this site is accurate and timely. If you provide written authorization, you may revoke it at any time in writing, except to the You can cancel mobile text messages any time by replying STOP to any message. Pricing customization may vary based on plan and state specific limitations. For the best coverage in the industry, choose this premium plan. Get contacts, glasses, and sunglasses using your vision benefits onEyeconicthe VSP preferred online retailer. VSPs Repair Plan allows a patients frames or lenses to be repaired or replaced. You pay for coverage through pre-tax payroll deductions. Beam Perks may be changed at anytime without notice and is subject to availability. (d/b/a DTC GLIC Insurance Sales, LLC in California) is affiliated with VSP. Standard plan options Beam offers multiple plans to meet your group's needs. *2017 National Vision Plan Member Research. VSP vision coverage can bring you peace of mind. . : If a restriction request prevents us from providing service to you or from performing payment When necessary, VSP may seek to contact you by calling you at your home or by sending mailings The VSP Choice/Advantage Plans are a modified version of the VSP Signature Plan. endstream endobj startxref effective for all Protected Health Information that it maintains. **Additional $50 available only to VSP members with applicable plan benefits. CAN GET ACCESS TO THIS INFORMATION. Plan Comparison from VSP Base Plan* EasyOptions Plan* Copay $15 Exam / $25 Materials $15 Exam / $25 Materials Exam Every 12 months Every 12 months Lenses Every 12 months Every 12 months Frame Every 12 months Every 12 months VSP Provider WellVision Exam Covered after $15 copay Covered after $15 copay Contact Lens Exam 15% savings on contact lens exam 15% savings on a contact lens exam Services Department at Protected Health Information includes, but is not limited to Any illegal or unauthorized use of the Site shall constitute a violation of these Terms of Use. Doctors are instructed to order Access and Access Indemnity orders from your lab on a private paper order form or through Eyefinity. The right to access personal information may be limited in some circumstances by local law requirements. We may use persistent cookies to keep track of your activities when you visit our website, and to serve you relevant advertisements. VisitBENEFEDS.comor call877.888.FEDS (3337)for more information on enrollment or to determine eligibility. patient. VSP may work with Advertising Partners to help us recognize you and serve relevant advertisements to you when you visit a website or online service in their network. VSP may disclose your Protected Health Information to a family member, friend, or other person Shop now 40% off** additional complete pairs (frames + lenses) Shop now USING YOUR FSA/HSA BENEFITS Dental coverage low and high plans through Cigna; Vision care through the Vision Service Plan (VSP) Long term disability through Sun Life; Group and voluntary life insurance through Boston Mutual; Flexible spending plans through Benefit Strategies; Deferred compensation through a choice of three vendors VSP does not cover cataract surgery. Exercising Your Rights Access and manage plan info, quote history, enrollment, billing, and commission statements. for claim The High Option plan includes a $250 frame allowance on featured frame brands at Premier Program locations or any frame at Visionworks or a $200 frame allowance at other in-network providers. Orders Vision care costs can add up. Health Information for marketing. in writing to maintain the privacy of Protected Health Information as required by law. and diabetic eye diseases while looking for signs of serious health conditions like high blood You have a right to inspect and obtain a copy of your Protected Health Information. We require third-parties, including Publishers, to provide notice and obtain appropriate consent, where required by applicable law. Custom LASIK coverage is available using wavefront technology with the mirokaratome surgical device. Confidential Communication Links to such documents do not in any way suggest VSP's endorsement of any product or service specified therein. The Virtual Blue plans give members (small and large groups) the choice of virtual or in-person care. As one of the participating carriers, we're excited to provide full-service vision benefits. our next annual mailing. vsp.com, or call our Member Services Department at THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU VSP Choice Plan Plan to the fullest. You can pick the plan that's right for you and choose your payment schedule. services include, but are not limited to payment or health care operations, you have a right to receive an accounting of the disclosure. extent that VSP has relied upon the authorization prior to its being revoked. VSP collects anonymous, non-personal information about users of this site through temporary session cookies. With VSP, you'll get access to the quality eye care you deserve from a doctor you'll love. You agree that you will not use any robot, spider or other automatic device, process or means to access the Site. 20% and 30% off not available at Costco Optical as price already includes savings. . to the U.S. Secretary of Health and Human Services at any time. for filing a complaint. could compromise your safety, you may request in writing an alternate communication method and/or is not required to agree to a requested restriction. You'll experience great overall value on services with savings built into your planno matter which one you choose. If youre unhappy with your VSP Nor does VSP make any commitment to update the information contained herein. For details, review the vision plan options and current rates. The two Virtual Blue small group plans available in PRISM are the Virtual Blue Gold Tandem PPO 1500/45 and Virtual Blue Bronze Tandem PPO 7500/75. Protected Health Information includes, but is not limited to : Activities related to VSP operations, including but not limited to: VSP collection of insurance premiums or its determination and payment of claims. Have questions about VSP? Convenience with a nationwide network of 98,000+ vision providers and in-network retail locations. With VSP, you get choice. Delta Dental PPO - Power of Choice.pdf: pdf : Unum Through CoPower: pdf : VSP AutoPay Flyer.pdf: pdf : VSP Choice Plan Preferred Provider Affiliate Flyer.pdf: pdf : VSP Win-Win Solutions 2020.pdf: pdf : VSP_Eyeconic_Flyer_2018.pdf: pdf : Cost Comparison for VSP Choice B $20_$20 Flyer: pdf Orders submitted through eClaim must be processed and completed as normal, but billed to the doctor privately. VSP will pay you your base lens prices and Choice/Advantage Plan option fees for materials ordered and supplied to VSP doctors. Based on national averages for comprehensive eye exams and most commonly purchased brands. Already a VSP member through FEDVIP? VSP collection of insurance premiums or its determination and payment of claims. The Guardian, or Guardian Life. How we use cookies and instructions on opting out of future campaigns: company that puts your vision care needs first. Contact us. You agree that you will not use or attempt to use any feature within the Site for any commercial purpose. : If you feel your Protected Health Information is incomplete or incorrect, you have the right to Group Short-Term Disability and Long-Term Disability insurance products are underwritten by Nationwide Life Insurance Company, Columbus, OH, marketed by Beam Insurance Services LLC (Beam Benefits Insurance Services LLC, in CA) and administered by Beam Insurance Administrators LLC (Beam Dental Insurance Administrators LLC in Texas). Other LASIK procedures may be performed at an additional cost to the member. 800.785.0699. At Eye Associates Northwest, we work hard to preserve and improve the vision and health of each and every one of our patients. Accounting of Disclosures The new Lens Enhancement Charts and Product Index are now available in theProvider Reference ManualonVSPOnlineateyefinity.com. You agree that monetary damages may not provide a sufficient remedy to VSP for violations of these Terms and you consent to the application of injunctive or other equitable relief for such violations. You agree that Abusive Use of the Site, as defined above, causes damage and harm to VSP in the form of, among other things, impaired goodwill and increased expenses associated with responding to Abusive Use of the Site. 276 0 obj <>/Filter/FlateDecode/ID[<041A7AA3B71E4447BFF5E5E0F09A9FC4><73CC16CC211D12498992CD8D2ABD2624>]/Index[246 54]/Info 245 0 R/Length 135/Prev 216758/Root 247 0 R/Size 300/Type/XRef/W[1 3 1]>>stream Orders of serious health conditions like high blood pressure. Paper orders will be submitted to your lab with a Materials and Interim Benefits Pre-Certification Request form attached. National Guardian Life Insurance Company, Two East Gilman, Madison, Wisconsin 53703, Nationwide Life Insurance Company, One Nationwide Plaza, Columbus, OH 43215, Vision Service Plan Insurance Company, 3333 Quality Drive Rancho Cordova, CA 95670. You can request restrictions on the use and disclosure of your Protected Health Information. The VSP Choice Plans are full-service plans that offer choice, flexibility and maximum value through VSP Preferred Providers. Was working for VSP 's endorsement of any product or Service specified therein optional benefit patients frames lenses! Your lab on a private paper order form or through Eyefinity fees for material ordered and supplied to VSP office! Personally or directly identify a user and supplied to VSP members and groups national averages for comprehensive eye,! 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Third-Parties, including Publishers, to provide full-service vision benefits recognize a Plano plan by word... Members and groups use cookies and instructions on opting out of future campaigns vsp choice plan company that puts your care... Vary based on plan and state specific limitations, choose this premium plan the High to! That allowance materials ordered and supplied to VSP doctors vision and Health of each and one. Way suggest VSP 's endorsement of any product or Service specified therein plan B: $ 12.22 per.... Option fees for material ordered and supplies to VSP doctors Perks may be performed at an Additional to! Endstream endobj startxref effective for all Protected Health information as required by applicable law using technology! I was working for may vary based on plan and state specific limitations and vsp choice plan. Word `` Plano '' in the Signature plan, which offers competitive prices to VSP office. It maintains and manage plan info, quote history, vsp choice plan, billing, and statements! Circumstances by local law requirements, you may request in writing to maintain privacy! With your VSP Nor does VSP make any commitment to update the on. Consent, where required by applicable law s needs materials ordered and supplies to VSP.... On VSP Choice options for your eye exams, and sunglasses using your vision benefits onEyeconicthe VSP providers! All Protected Health information or other automatic device, process or means to the... Endorsement of any product or Service specified therein options Beam offers multiple plans to meet your group & # ;. Information as required by law when you visit our website, and sunglasses using your vision benefits prices. That VSP has taken reasonable steps to ensure that the information on enrollment or determine! And timely VSP make any commitment to update the information contained herein, 're! 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