Title: Less any copayment
1Southeast Missouri State University 2007 VSP Plan
Less any copayment
2Southeast Missouri State University VSP Plans
- Both VSP Plan Designs offer the same VSP National
Network as the current VSP plans do. - Both VSP plans are 100 voluntary
3Accessing VSP Benefits
MEMBER SERVICES 800-877-7195 www.vsp.com
1) Locate a doctor - www.vsp.com - doctor
list - call VSP
3) Visit the doctor
2) Call a VSP doctor for an appointment
VSP PATIENTS
VSP DOCTORS
4VSP Low Option PlanExam Plus Plan
5Exam Plus
- Exam Covered In Full Every Calendar Year
(with a 10 Copay) - Prescription Eyewear Discounts
- Lenses
- 20 discount when a complete pair of glasses is
purchased - Frame
- 20 discount when a complete pair of glasses is
purchased - Contacts
- 15 discount off the contact lens fitting and
evaluation exam. This exam is in addition to
your vision exam to ensure proper fit of your
contacts.
6Exam Plus - Extra Discounts and Savings
- Laser Vision Correction Discounts
- Prescription Glasses
- Up to 20 savings on lens extras such as scratch
resistant and anti reflective coatings - 20 off additional prescription glasses
- Contacts
- 15 off cost of contact lens exam (fitting and
evaluation) - Available from the same VSP doctor who provided
your eye exam within the last 12 months
7Out of Network Allowances
- Exam 45.00
- Please note applicable copayment does apply
8VSP High Option PlanSignature Plan
9Vision BenefitsSignature Plan High Option -
In-Network Coverage
- A thorough eye exam every Calendar Year (with a
10 copay) - Prescription lenses every Calendar Year (with a
25 copay for prescription glasses) - A frame every other Calendar Year
- Contact lens allowance every Calendar Year (in
place of lenses and a frame) (no copays apply)
10Eye Exam
- An eye exam is fully covered, less a copay, and
includes - A Review of the Patients Case History
- Eye Health Status
- Refractive Evaluation
- Visual Field Screening
- Neurological Integrity
- Diagnosis Treatment
11Prescription Lenses
- Prescription lenses are fully covered, less a
copay, and includes one of the lens types below - Single vision
- Lined Bifocal
- Lined Trifocal
- Polycarbonate Lenses for Dependent Children
12Frame
- Members are covered in full up to a 120 retail
allowance for their frames. - If a frame is chosen which is valued at more than
the plans allowance, the member will receive a
20 discount on the amount over the allowance.
13Contact Lenses
- If the member chooses contact lenses instead of
glasses, they are covered up to 120 toward the
contact lens exam (evaluation and fitting) and
contact lens materials.
14Contact Lenses (continued)
- Members are also eligible for
- VSPs Contact Lens Care Program.
- Current soft contact lens wearers may qualify for
a special contact lens program that includes a
contact lens evaluation and initial supply of
replacement lenses. Learn more from your doctor
or vsp.com. - Offered only through the same VSP network doctor
who performed the covered eye exam within 12
months from date of the exam.
15Additional In-Network Savings
- VSP provides discounts for
- Cosmetic lens options such as progressives and UV
coatings (average 20 savings) - 20 discount off the purchase price of additional
pairs of prescription glasses - 15 discount off the cost of the contact lens
exam (evaluation and fitting fees)
Discounts are available for 12 months from the
VSP doctor who provided the last covered eye
exam
16Laser VisionCareSM Program
- Our members
- have access to VSP approved doctors and surgery
centers nationwide - Discounts apply (average savings 15-20 off U C
prices with fixed maximums) to the following
surgeries PRK, LASIKS, and Custom LASIKS (using
Wavefront technology) - For more information contact VSPs customer
service or www.vsp.com
17Out of Network Allowances
- Exam 45.00
- Single Vision Lenses 45.00
- Bifocal Lenses 65.00
- Trifocal Lenses 85.00
- Frame 47.00
- Elective contact Lenses 105.00
- Please note applicable copayments do apply
18www.vsp.com
- Complete information about VSP including how to
- Use your benefits
- Find a doctor
- View your eligibility
- and coverage
19Questions???