THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU Your coverage with a VSP Choice network provider Adults and dependents ages 19 and over Dependents under ages 19 Coverage available only with a VSP Choice network provider Vision insurance may also reduce employees' out-of- pocket cost for prescription glasses and contacts. With VSP, you get choice. When using your benefits overseas, you'll need to file an out-of-network claim. request a copy from your Benefit Administrator, or you may request a paper copy from VSP Any item not listed on that fee schedule should be billed to the doctor according to your private add-on price for that product. : VSP may require that a request contain a statement that disclosure of all or part of the Contact The Answer Team at 800.696.4543orinfo@claremontcompanies.com. Prescription Lenses Glass or plastic single vision, lined bifocal, lined trifocal, or lenticular lenses are covered in full*. If it becomes necessary to disclose any of your Protected Health Comprehensive exam offered by all VSP doctors, Your Search Criteria:50 results displayed |. VSP Through We do not collect personal identifying information about a user, will not link to any protected health information, and will not target ads to a user based on sensitive health data. Some features, such as VSP's Network Doctor Directory and the member's benefit information, relate directly to a member's personal information. LEARN MORE LEARN MORE Therefore, you agree that if you, or others act in concert with you, alone or collectively request more than 100 pages of content from the Site in any twenty-four hour period, you, and those acting in concert with you, may be held jointly and severally liable for reasonable attorney's fees, expert witness fees and costs associated with injunctive or other equitable relief. Protected Health Information includes, but is not limited to The provision, coordination or management of vision care and related services by one or more You have a right to inspect and obtain a copy of your Protected Health Information. Important We require third-parties, including Publishers, to provide notice and obtain appropriate consent, where required by applicable law. Our plan wizard can help find the best vision plan for you. Billing containing your Protected Health Information to your home. Activities related to VSP operations, including but not limited to: Payment VSP is the only national not-for-profit vision care company. What previously announced changes will take effect January 1, 2021? Contact VSP request that it be amended. Thank you! PLEASE REVIEW IT CAREFULLY. Billing 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. Exam. Your subplan is very important. VSP, however, assumes no responsibility for any errors or omissions on this site or for the accuracy, truthfulness, or content of other documents that are referenced or linked to this site. VSP is a vision insurance company that provides a range of services like regular eye exams, prescription glasses, and contact lenses. Services Department at VSP members who enter personal information should know all communication between their computer and VSP's Web servers are encrypted using Transport Layer Security (TLS 1.2) technology. services include, but are not limited to 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 Advantage Exam Plus with Allowances Plan fee schedule. and diabetic eye diseases while looking for signs of serious health conditions like high blood Learn more about your benefits by logging in to vsp.com. Guardian Direct offers you: *Costs vary by state. VSP's website does not direct content to Minors and do not intend to collect personal information from Minors and therefore are not subject to the Children's Online Privacy Protection Act. Both Basic and Plus options will offer an additional $50 frame allowance for certain featured frame brands. 800.785.0699. Youll get more out of your coverage and pay lower out-of-pocket costs when you see a VSP network doctor. Find the VSP doctor who's right for you or call Member Services at800.807.0764for out-of-network plan details. Health Information. Beam Perks and Beam Perks rewards program not available for DHMO product members. will make the revised notice available on our website and include information about the changes in If you believe that your privacy rights have been violated, you may submit a complaint to VSP or Orders Help for businesses Help with dental and vision insurance claims Help with dental and vision insurance claims Help make the claims process easy for your employees. VSP will pay you for the materials and/or services you provide on Repair orders. 800.807.0764. Many offer evening and weekend appointments. VSP only collects information that does not personally or directly identify you via these cookies. containing your Protected Health Information to your home. Instructions on changing personal information (for users): By submitting your phone number, and checking the box on the enrollment form, you are agreeing to receive autodialed calls, prerecorded messages and/or text messages from VSP, its affiliates, and third parties acting on VSPs behalf. This site contains links to Third-Party (or Contractor) websites. I liked how simple it was to switch from the plan I had with the company I was working for. VSP DHMO dental product available in CA, underwritten and administered by California Dental Network, marketed by Beam Insurance Services LLC. VSP members are also covered with Essential Medical Eye Care to treat immediate issues from pink eye to sudden changes in vision or to monitor ongoing conditions such as dry eye, diabetic eye disease, glaucoma, and more. Questions? experience or your eyewear selection, contact Member Services and theyll make it Signature Plan members also receive 30% off on glasses purchased same day as eye exam from the same VSP doctor that did exam. : Treatment You may also Use or Disclosure Requiring Authorization related functions, we will not be able to agree to the request. Signature Plan orders are generally submitted to your lab through Eyefinity. agreed or had an opportunity to object. 2023 Claremont Insurance Services. Email subscription information that VSP collects may be used to personalize and target content of the emails you receive from VSP, enabling us to improve our service to you. If a disclosure of your Protected Health Information was made for a reason other than treatment, VSP's security software is the industry standard and among the best software available today for secure transactions. 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. Information relating to a VSP patient's past, present or future health or condition, the Nor does VSP make any commitment to update the information contained herein. Important It shall also be a violation of these Terms of Use: (a) for any individual (or group of individuals acting in concert) to request, more than 100 pages of content from Site in any twenty-four hour period (hereafter referred to as "Abusive Use"). as required or permitted by law (please see Use or Disclosure Required or Permitted by Law Important VSP collects anonymous, non-personal information about users of this site through temporary session cookies. Laser VisionCare Program: VSP-contracted laser centers provide discounts for laser surgery including PRK, LASIK, and custom LASIK. 800.785.0699. If you have additional questions, please contact your VSP representative. Business Associate Billing for filing a complaint. . If you are unable to meet a standard related to health factor to receive a reward under this program, you might qualify for an opportunity to receive the reward by different means. Links to documents outside of this publication may be found to contain offensive material or may further link to pages that may contain offensive material. You agree that you will not copy, reproduce, alter, modify, create derivative works, or publicly display any content (except for your own personal, non-commercial use) from the Site without the prior express permission of VSP. Email subscription information that VSP collects may be used to personalize and target content of the emails you receive from VSP, enabling us to improve our service to you. 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 the U.S. Secretary of Health and Human Services at any time. related functions, we will not be able to agree to the request. Your VSP vision plan also provides an extra $20 to spend, on top of your frame allowance, when you purchase . 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. Although you'll get the most out of your benefits by seeing a VSP Choice network provider, you can see an out -of-network provider Call member service at 800.877.7195 or visit . coordination of your vision care treatment, disclosure to your plan sponsor to the extent permitted by law. The right to access personal information may be limited in some circumstances by local law requirements. endstream endobj 247 0 obj <. You also have the right to opt out, free of charge, from the processing of your personal information for marketing purposes. There are many plans to choose from through both VSP and EyeMed. Choice/Advantage Plan orders are generally submitted to the lab through Eyefinity. vsp.com, or call our Member Services Department at Orders patient. As the only national not-for-profit vision care company, VSP invests in the things you value most- the best care at the lowest out-of-pocket costs. Vision Policy form series numbers NVIGRP 11-13, NVIGRP 5 . Questions? request a copy from your Benefit Administrator, or you may request a paper copy from VSP If you receive a VSP Materials Invoice and CMS-1500 form for a Medicaid order, return them to the doctor and proceed with the job as you would a private order. You can view and print a copy of this Notice of Privacy Practices through vsp.com. necessary for: Disclosure to VSPs Business Associates Any illegal or unauthorized use of the Site shall constitute a violation of these Terms of Use. 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. VSP's Standard Option plan comes with a $120 or a $160 frame allowance on a featured frame brand. Employees pay a portion of the cost of the premium . Dental and vision insurance products underwritten by National Guardian Life Insurance Company (NGL), Madison, WI, marketed by Beam Insurance Services LLC (Beam Benefits Insurance Services LLC, in CA). Interim Benefits may be covered for an exam, frame, and an additional pair of lenses, including elective contact lenses. Orders VSP Choice Network + Affiliates Out of Network Deductibles $20 Exam $20 Exam $30 Eye Glass Lenses or Frames* $30 Eye Glass Lenses or Frames . This website is owned by Vision Service Plan (VSP). You can also request a physical card. Orders submitted through eClaim must be processed and completed per your normal means, but billed as a private order. patient. for claim You'll even save 20% on an additional pair. The perfect plan for your clients' unique workforce just got an upgrade. Receive a Copy VSP has taken reasonable steps to ensure that the information on this site is accurate and timely. effective for all Protected Health Information that it maintains. You pay for coverage through pre-tax payroll deductions. If it becomes necessary to disclose any of your Protected Health Violation(s) of these Terms of Use, including Unauthorized Entry or Unauthorized Use of the Site, may be investigated and appropriate legal action may be taken, including, without limitation, civil, criminal and/or injunctive redress. Orders submitted through eClaim must be processed and completed as normal, but billed to the doctor privately. For more information, please refer to the Plans menu on VSPOnline through eyefinity.com and select Cigna or MetLife. And save even more when you visit a Premier Program location! You can update your vsp.com profile at any time. $200. GET STARTED Purchase Your Own Plan Get customized coverage for just $13/month. Interim Benefits are an optional VSP WellVision enhancement that provides coverage for services and materials obtained when a member is not eligible for services or materials under their regular plan. VSP You agree that you will not take any action that imposes an unreasonable or disproportionately large load on our infrastructure. 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. **20% savings on the amount over your allowance. You may also VSP is required to abide by the terms of this notice currently in effect by: Notice Revisions Contact us for recommendations on VSP Choice options for your clients. extent that applicable law allows, request payment for this service. Visionworks is an affiliate of Vision Service Plan. The Virtual Blue plans give members (small and large groups) the choice of virtual or in-person care. patient. If the order does not contain one of these comment codes, process it as you would a Signature or Choice Plan order, according to the benefit type indicated. Request to Restrict Your Protected Health Information 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. : If you feel your Protected Health Information is incomplete or incorrect, you have the right to Vision Service Plan Vision care coverage is now available through Vision Service Plan (VSP) as an optional benefit. Information relating to a VSP patient's past, present or future health or condition, the If a disclosure of your Protected Health Information was made for a reason other than treatment, VSP reserves the right to revise the terms of this notice, and to make the revised terms VSP's Eye Care Information provides basic eye care information to encourage overall eye health and wellness education. A copy VSP has taken reasonable steps to ensure that the information on this site is accurate timely... Program location the right to opt out, free of charge, from the processing of your vision company. Dhmo dental product available in CA, underwritten and administered by California dental network marketed... In-Person care by vision Service plan ( VSP ) Protected Health information that does not personally directly! For marketing purposes VSP vision plan for your clients & # x27 ll... In-Person care eyefinity.com and select Cigna or MetLife vision plan for your clients & x27... Including Publishers, to provide notice and obtain appropriate consent, where required applicable. Care Treatment, Disclosure to your home site is accurate and timely claim you & # ;! You 'll need to file an out-of-network claim but not limited to: Payment VSP is the national! Clients & # x27 ; unique workforce just got an upgrade vsp choice plan normal, but billed as a private.! To VSP operations, including elective contact lenses 20 % on an additional $ 50 frame allowance, when purchase. 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