Presentation on theme: "VSP Proprietary and Confidential State of New Mexico Vision Benefits “Effective July 1, 2012”"— Presentation transcript:
VSP Proprietary and Confidential State of New Mexico Vision Benefits “Effective July 1, 2012”
VSP Proprietary and Confidential State of New Mexico & Vision Service Plan About VSP Vision Care ® Update to State of New Mexico vision benefit Contacting VSP Making an appointment Our Promise
VSP Proprietary and Confidential About VSP We care about you and your eyes. 56 years of helping people see well, stay healthy, and fulfill their potential We work with the best doctors Over 130 preferred providers in New Mexico Over 250 preferred provider access points including Texas, Colorado and Arizona We give back! Sight for Students has provided eye exams and glasses for 500,000+ children nationwide
VSP Proprietary and Confidential Your Eyecare Plan Coverage from a VSP Preferred ProviderCoverage from Costco Frequency Exam and Lens every 12 months Frame every 24 months Copay Exam $10Materials (total) $15 WellVision Exam Covered in Full, after applicable copay Lenses Covered in Full, after applicable copay, single vision, lined bifocal and lined trifocal Polycarbonate lenses for dependent children Lens Options 35 - 40% off lens optionsn/a
VSP Proprietary and Confidential Your Eyecare Plan Coverage from a VSP Preferred ProviderCoverage from Costco Frame*Covered in full up to retail allowance of $130 20% off any amount exceeding allowance $70 allowance at Costco Contact Lenses $110 allowance for contacts and contact lens exam 15% off the cost of contact lens exam (fitting and evaluation) You can apply your materials allowance toward the purchase of any contact lens brand of your choice. $110 allowance for contact lenses only Contact lens exam is not covered *new: increased frame allowance effective July 1, 2012
VSP Proprietary and Confidential Extra Discounts and Savings Great savings through your VSP doctor Coverage with a VSP DoctorCoverage from Costco Extra Discounts and Savings 30% off additional pairs of prescription glasses and sunglasses, from the same VSP doctor on the same day as your Well Vision Exam 20% off additional pairs of prescription glasses and sunglasses from any VSP doctor within 12 months of the last covered exam Guaranteed pricing on retinal screening No additional discounts
VSP Proprietary and Confidential Extra Discounts and Savings Great savings through your VSP doctor Coverage with a VSP DoctorCoverage from Costco Extra Discounts and Savings Average 15% or 5% off the promotional price of laser vision correction services –Discounts only available from contracted facilities After laser vision correction, use your frame allowance (if eligible) for sunglasses from any VSP doctor No additional discounts
VSP Proprietary and Confidential Benefits with Other Providers If you see a out-of-network provider, other than a VSP doctor or Costco, you’ll: –Receive a lesser benefit –Typically pay more out-of-pocket, and –Won’t qualify for valuable discounts –Submit a claim for reimbursement Some providers will submit your claim for you, visit vsp.com for details.
VSP Proprietary and Confidential Benefits with Other Providers Out-of-Network Reimbursement Schedule Open Access Coverage Eye Exam$35 Single Vision Lenses$25 Bifocal Lenses$40 Trifocal Lenses$55 Lenticular Lenses$80 Frame$35 Contact Lenses$110 Contact VSP Customer Service prior to receiving open access services: 800.877.7195
VSP Proprietary and Confidential VSP Member Services Call VSP Member Service at 800.877.7195 to: –Find a doctor or check benefits information. Representatives are always available to answer your questions. –Interactive Voice Response available 24/7 to order doctor directories and confirm eligibility
VSP Proprietary and Confidential VSP Member Services Visit vsp.com on your computer or smartphone to: –View your personalized benefits information. Create your own unique user ID and password No SSN required to login –Find a VSP doctor or affiliate provider. Including address, hours, language and location by map –Check savings from your previous doctor visit. –Eye health & wellness education –Get eyecare information, news, and trends.
VSP Proprietary and Confidential Making an Appointment Find a VSP doctor or affiliate provider anytime, anywhere. –Sign on to vsp.com or call 800.877.7195 Review your benefit information before your appointment at vsp.com. At your appointment, tell them you’re a VSP member. –Provider you member ID number OR –Member’s last name and date of birth AND –Patient name, relationship and date of birth That’s it! We’ll handle the rest
VSP Proprietary and Confidential VSP Members are Satisfied! * Survey conducted online by Synovate in Q4 2009 with members of four national vision plans that provide fully insured benefits to at least five million members. In a recent study, when compared to other national vision plans, our members ranked VSP: –Highest in member satisfaction –Highest in satisfaction with doctor network –Highest in satisfaction with costs Low out-of pocket costs Affordable eye exams Affordable eyewear You will be 100% happy or we’ll make it right. It’s that simple.