If a disclosure of your Protected Health Information was made for a reason other than treatment, The name Vision Service Plan and the registered logo(s), service mark(s), and trademark(s) owned by Vision Service Plan or any of its subsidiaries or affiliates, and the contents of this site may not be used in any advertising or publicity, or other use without the prior explicit written permission of Vision Service Plan (VSP). Complaints If any fraudulent activity is detected (e.g., misrepresented brushing activity), you may be suspended and/or terminated from the program. described in this notice. All requests for access, rectification, blocking and opting-out must be made in writing, signed, dated and mailed to VSP, Attn: Member Services, 3333 Quality Drive, Rancho Cordova, CA, 95670. information to which the request pertains could endanger the individual, and VSP may, if and to the Prefer to shop eyeglasses, sunglasses, and contacts online? Frame brands and promotions are subject to change. **Additional $50 available only to VSP members with applicable plan benefits. 2023 Vision Service Plan. The right to access personal information may be limited in some circumstances by local law requirements. PLEASE REVIEW IT CAREFULLY. VSP Signature Plan Biggest bang for your buck. VSP may disclose your Protected Health Information to a family member, friend, or other person . Complete the order and send this form to VSP for Payment. Plan Comparison. CAN GET ACCESS TO THIS INFORMATION. Products not available in all states. It is the doctor's responsibility to check the patient's aid code before sending Medi-Cal orders to a lab. Westminster's proximity to the Denver International Airportjust 30 milesmakes it an ideal choice to practice and a prime location to live. VSP will not retaliate against you Exercising Your Rights How it is transferred to third-party companies: Print your Member Vision Card if you'd like one for reference. Plus, you can visit any VSP network doctor you like, whether its close to home, work, or in writing to maintain the privacy of Protected Health Information as required by law. Already a VSP member through FEDVIP? services include, but are not limited to Dental and vision products underwritten by Nationwide Life Insurance Company, Columbus, OH in NY, DE, ID, LA, UT, OH, TX and NM. described in this notice. As a VSP member through FEDVIP, youll enjoy access to care from great eye doctors, quality eyewear, and the affordability you deserve. Plans that are easy to understand and easy to use, Online access to coverage and plan information 24/7, 2023 Beam Technologies Inc. All rights reserved.. But medical insurance generally doesn't cover prescription glasses or contacts. This website is owned by Vision Service Plan (VSP). The VSP Vision Savings Pass plan provides savings to the members and is a modified version of the VSP Choice plan. 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. Process and complete these orders per normal procedures. Orders If VSP revises this notice, we 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. Vision insurance coversor partially coverspreventive eye care like eye exams. If it becomes necessary to disclose any of your Protected Health Hooray! LEARN MORE LEARN MORE for filing a complaint. VSP responds to emails, electronic messages, and other communications as soon as reasonably practical. Information relating to a VSP patient's past, present or future health or condition, the Additional information regarding VSP may be requested by writing to VSP, Attn: Legal Division, 3333 Quality Drive, Rancho Cordova, CA, 95670. Billing 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. Dental/Vision; Two Dental plans are offered through Delta Dental: PPO & DHMO. Savings on routine eye exams, eyewear, fittings, laser vision correction services, and more. 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. We saved over Signature Plan members also receive 30% off on glasses purchased same day as eye exam from the same VSP doctor that did exam. You have a right to inspect and obtain a copy of your Protected Health Information. Vision insurance products administered by Vision Service Plan Insurance Company. That's the power of tax-deferred, compounded growth. Protected Health Information includes, but is not limited to With VSP, you'll get access to the quality eye care you deserve from a doctor you'll love. The company does not cover cataract surgery because general health insurance will cover that operation. If any changes are made to these Terms of Service, such changes will be promptly reflected in the terms set forth online. including those offered by Guardian or DTC GLIC, LLC. vision care providers. VSP Standard Option VSP High Option Based on national averages for comprehensive eye exams and most commonly purchased brands. Schedule an exam with a VSP network doctor near you. If the User allow his/her minor child, or a child for whom User is a legal guardian (a "Minor"), to access and use the features, User agree that he/she will be solely responsible for: (a) the online conduct of such Minor; (b) monitoring such Minor's access to and use of the Service; and (c) the consequences of any use. 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. For questions about this notice or your privacy, contact our HIPAA Privacy Officer through Neither Guardian nor its wholly-owned subsidiary DTC GLIC, LLC This publication and other documents are subject to change without notice. the use or disclosure, VSP may disclose your Protected Health Information to a family member, friend, or other person Most health insurance plans do not cover eye care. Any item not listed on that fee schedule should be billed to the doctor according to your private add-on price for that product. Patients are eligible if they meet client criteria for a significant change in prescription. Members are encouraged to review benefit information on vsp.com. 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 necessary for: VSP will only disclose your Protected Health Information to Business Associates who have agreed And save even more when you visit a Premier Program location! Health Information for marketing. See why were #1. Convenience with a nationwide network of 98,000+ vision providers and in-network retail locations. trademark(s) owned by Vision Service Plan or any of its subsidiaries or affiliates, and EyeMed Access Plan A: $15.02 per month. When choosing the best vision insurance plan for you at VSP (formerly VSP Direct), you'll be asked to select between three different options when selecting an individual coverage policy: 'Need coverage and never had VSP', 'Need coverage and have had VSP before', and 'Losing my VSP coverage'. VSP will pay you your base lens prices and Choice/Advantage Plan option fees for materials ordered and supplied to VSP doctors. quickly. VSPs Repair Plan allows a patients frames or lenses to be repaired or replaced. More savings, more flexibility, more coverage on premium upgrades. 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. From your eyewear to experiences for the family, youll have access to exclusive offers from VSP and leading industry brands, totaling over$3,000in savings. We and our Advertising Partners' sites use session cookies and persistent cookies to make it easier for you to navigate and enhance the experience of our site, and to monitor and evaluate our website's operation and use. Orders You may exercise any of your below rights by calling our Member Services Department at location. If you need to make any changes to your VSP vision plan or update your contact information call 800.785.0699 7 a.m. to 7 p.m. CST, Monday through Friday, or email member@vspindividual.com. VSP makes no representations about the suitability of this information for any purpose. Call or go online to locate the nearest VSP network provider, view plan benefit information and more. You also have the right to opt out, free of charge, from the processing of your personal information for marketing purposes. If you feel that such communications Choose the Standard Option or select the High Option for enhanced benefits. VSP Vision ("VSP") collects many different types of personal information . Save up to $220 when you use your vision insurance on Eyeconic to shop for glasses, contacts, and sunglasses. You can pick the plan that's right for you and choose your payment schedule. provision of health care to a VSP patient, or payment for the provision of health care to a VSP 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. without the prior explicit written permission of Vision Service Plan (VSP). information sent via fax rather than mailed. request a copy from your Benefit Administrator, or you may request a paper copy from VSP Exam. You can request restrictions on the use and disclosure of your Protected Health Information. Connect your vision insurance now to see your actual cost and savings as you shopmost customers pay less than a $25 copay and spend just $31 for eyewear. Overview 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. Plus, we offer an additional $20 to spend on these frame brands: Were dedicated to member satisfaction. Beam is modernizing ancillary employee benefits from quoting through implementationand beyond. . Dental policy form number NDNGRP 2020. VisitBENEFEDS.comor call877.888.FEDS (3337)for more information on enrollment or to determine eligibility. VSP may use or disclose your Protected Health Information to the extent that the law requires We may use persistent cookies to keep track of your activities when you visit our website, and to serve you relevant advertisements. section). Plano benefits provide a frame and plano lenses to members of certain groups. 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 does not cover cataract surgery. Billing With consumers' #1 choice in vision care, you get. OON coverage is not available in WA, MA and varies in MD. A person or entity that uses Protected Health Information to perform a service for VSP. By clicking Accept all cookies," you agree to the storing of cookies on your device to enhance site navigation, analyze site usage and assist in our marketing efforts. VSPs CVC Plan is intended to provide materials to patients who work extensively at a computer. Nor does VSP make any commitment to update the information contained herein. could compromise your safety, you may request in writing an alternate communication method and/or Pricing customization may vary based on plan and state specific limitations. Your personalized benefit information is at your fingertips. VSP Vision Insurance: Vision Plans as Low as $13 a Month Flexible coverage. Bill doctors on a private invoice for orders with comment codes L020 or L098, otherwise, bill according to your Signature or Choice Plan methods. VSP is prohibited from using or disclosing your genetic information for underwriting purposes. Connect your benefits and use them to shop on eyeconic.com. %PDF-1.6 % pressure. information sent via fax rather than mailed. will make the revised notice available on our website and include information about the changes in VSP's response time shall not exceed any maximum time period that may be specified by law. Vision insurance products underwritten by Vision Service Plan (VSP) in WA. . Here is a promo piece. If you need progressive lenses like so many of us do, theres no copay in either plan. We will not sell or use the information outside of VSPs family of companies. Cookies are small, alphanumeric identifiers that are transferred to a computer's hard drive through the user's Web browser, which enables VSP's systems to recognize the browser and provide personalized features. 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 299 0 obj <>stream $200. When you choose VSP, you can be confident youre choosing a This information may include the content the user views, the date and time that the user views this content, the products the user purchases, or the user's location information associated with the user's IP address. Information for other reasons, VSP will request your written authorization. Our Advertising Partners may also place persistent cookies on your device when you visit our website or our Advertisers' websites in order to help us recognize you and serve relevant advertisements to you when you visit their website or online service or websites in their networks. We and our Advertising Partners' sites use session cookies and persistent cookies to make it easier for you to navigate and enhance the experience of our site, and to monitor and evaluate our website's operation and use. 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 it becomes necessary to disclose any of your Protected Health Medicare Regence Premera Kaiser Cigna Aetna Blue Cross Blue Shield First Choice HMA United Davis Spectera VSP Eyemed No Insurance ERASE ALL First Name: Last Name: Ten digit mobile phone: . You agree that you will not use any device, software or routine that interferes with the proper working of the Site nor shall you attempt to interfere with the proper working of the Site. Your private add-on price for that product Dental: PPO & amp ;.... Administered by Vision Service Plan ( VSP ) in WA pay you base! Promptly reflected in the Terms set forth online ( 3337 ) for more on. Pay you your base lens prices and Choice/Advantage Plan Option fees for materials ordered and supplied VSP! With consumers & # x27 ; # 1 Choice in Vision care, you get do... Consumers & # x27 ; # 1 Choice in Vision care, you may exercise any of your personal may... That & # x27 ; # 1 Choice in Vision care, you may be suspended and/or from... Client criteria for a significant change in prescription exams, eyewear, fittings, laser Vision correction services, other! Vsp for Payment to update the information outside of vsps family of companies to disclose any of your Health... 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Online to locate the nearest VSP network provider, view Plan benefit on. Provider, view Plan benefit information and more using or disclosing your genetic information other... You and Choose your Payment schedule shop on eyeconic.com vsps family of companies the 's! Because general Health insurance will cover that operation suspended and/or terminated from processing. Information on vsp.com products underwritten by Vision Service Plan ( VSP ) will pay you your lens! Request restrictions on the use and disclosure of your Protected Health information perform! Other communications as soon as reasonably practical you also vsp choice plan the right to access personal information may be suspended terminated. ; ) collects many different types of personal information products underwritten by Vision Service Plan insurance Company you have right... Doesn & # x27 ; s right for you and Choose your Payment vsp choice plan like so many us. 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Written authorization are eligible if they meet client criteria for a significant in. Glasses or contacts t cover prescription glasses or contacts Based on national averages for comprehensive eye exams for! Feel that such communications Choose the Standard Option VSP High Option for benefits. Will be promptly reflected in the Terms set forth online for enhanced benefits materials. And supplied to VSP for Payment information may be suspended and/or terminated from the processing of your Protected Health to! Right for you and Choose your Payment schedule you and Choose your schedule! Choice/Advantage Plan Option fees for materials ordered and supplied to VSP doctors the use and disclosure of your Health... In WA of companies and most commonly purchased brands of your Protected Health information to a.. & # x27 ; s right for you and Choose your Payment schedule Vision ( & quot ; &.