How do I submit a claim to VSP?

Contact your insurance company directly for instructions on applying for reimbursement. The Premier Program is legal and consistent with VSP members’ best interests–connecting them with doctors who offer the services and products that enable them to increase their benefits. You must be a VSP Provider to take part in the Premier Program. For more information about joining our network of almost 40,000 doctors, head to Providers at vspglobal.com and click on Turn into a VSP provider.
Take full advantage of your benefits at an in-network provider. If you only have an out-of-network option, you may need to submit a claim form. Select your carrier below for details on how exactly to apply your insurance to prescription eyeglasses, prescription sunglasses, contacts, and eye exams. Here is part two of our frequently-asked-questions about VSP vision insurance. You don’t need to fill out a claim form for VSP network providers. The physician or provider will discuss any co-pays or out-of-pocket expenses with you throughout your appointment.

• We can obtain your U&C fees through the claims that you submit to
• If you opt to use an out-of-network provider, you are still qualified to receive the service reimbursement the following.
• You should use the vision care provider of one’s choice.
• Please understand that we shall do everything possible to work with your specific intend to provide you with the best care, materials, and benefits possible.

Empire Creative is really a Houston based full service marketing agency with offices in League City & Katy, Texas. Our marketing services include Branding, Logos, Brand Audits, Graphic Design, Websites, SEO, Social Media, Video Production, Digital Marketing and much more. To report inaccurate data for your practice, please we’ll respond shortly. Participating practices can choose from multiple tiers—Silver, Gold or Platinum—that each offer unique benefits. For each tier, there are specific criteria you need to meet to benefit from benefits at that level.

Click Check VSP Eligibility/Authorization to open the Eligibility/Insurance screen in another tab. Create an account on vsp.com where you can review your personalized plan details and eligibility. As a fresh hire, you may enroll within the initial 30 days of employment. You may also enroll during the annual open enrollment period. Standard progressive lenses are covered in full, plus an average savings of 20-25% on other lens enhancements. Glasses or contacts are covered once every 12 months and frames once every two years.
Because we don’t contract with insurance corporations we are able to provide these goods and services at most affordable price. That means, less out-of-pocket after insurance which means, more in-your-pocket. For frames purchased in-network, you’re provided a $130 frame allowance or $150 featured frame brands allowance and 20% savings on the total amount over your allowance. Or you use your benefit at the following retail locations, with a $70 Walmart®/Sam’s Club®/Costco® frame allowance. VSP Primary EyeCare PlanSM including covered completely retinal screening for members with diabetes who do not have diabetic eye disease. Plus, additional exams and services for members with diabetes, glaucoma, or age-related macular degeneration.

You’ll get the chance to upload receipts or submit them by mail. Please submit your itemized receipt together with the out-of-network reimbursement form. VSP will reimburse you the allotted amount based on your benefits. Pediatric vision benefits are now covered by the program at 100% when working with a participating provider. Effective July 1, 2017, PWGA’s Vision Benefit will undoubtedly be administered by VSP.
Our Advertising Partners may collect information regarding your activities on our website, our Advertisers’ websites, along with other websites or online services in their networks. We may also work with third-party companies to aid us with website analytics such as evaluating the use and operation of our website so that we can continue to enhance the website and our services. Claims for medical/VSP coordination of benefits must include both a primary medical diagnosis code and a routine vision diagnosis code, and all line items on the order should be exam-only. Once you create exam orders, you can apply VSP as the secondary insurance once the primary insurance is a medical insurance plan. If you went out-of-network and you have out-of-network coverage, you’ll have to submit a claim online or by mail.
You have 180 days from the date you obtain service to submit your claim for reimbursement. You already paid for your VSP insurance, you have to be able to maximize those pre-paid benefits without all of the up-charges and out-of pocket costs.