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Value for Benefit-Eligibles Value for Benefit-Eligibles

Value for Benefit-Eligibles - PowerPoint Presentation

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Uploaded On 2016-02-20

Value for Benefit-Eligibles - PPT Presentation

ExamEyewear Without VSP With VSP Eye Exam 155 15 Copay Frame 130 20 Copay Bifocal Vision Lenses 148 Progressive Lenses 154 105 Transitions Lenses 101 70 Employeeonly Annual Premium Contribution ID: 224892

plan vsp doctor lenses vsp plan lenses doctor year exam vision provider eyecare member glasses savings frame contacts lens

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Slide1
Slide2

Value for Benefit-Eligibles

Exam/Eyewear

Without VSP

With VSPEye Exam$155$15 CopayFrame$130$20 CopayBifocal Vision Lenses$148Progressive Lenses$154$105Transitions® Lenses$101$70Employee-only Annual Premium ContributionN/A$69Total$688$279

Average Annual Savings$409with a VSP Doctor

Best value for your dollar

Comparison based on national averages for eye exams

and most commonly purchased brands.Slide3

Contributions for

Benefit-Eligibles

Rates effective July 1, 2014

Contributions per payEligible for pre-tax deductions through Section 12524 Pays18 PaysEmployee Only$2.87$3.85Employee + Spouse$5.72$7.63Employee + Child(ren)$6.13$8.17Employee + Family$9.78$13.04Slide4

Your Eyecare Plan

More than the basics—and at a great price

WellVision Exam®

Thorough eye exam once every plan yearPrescription glassesLenses once every plan yearFrame once every other plan yearContactsYou can choose contacts instead of glasses every plan yearExtra discounts and savingsPlan year runs from July 1 – June 30Slide5

WellVision Exam

®

Focuses

on your eyes and overall wellnessAvailable once every plan yearFully covered after a $15 copay at VSP DoctorsEyecare is important:85% of all you experience is through your eyesRoutine exams can help you see well and detect symptoms of health conditionsVision problems can impact a child’s learning and developmentSlide6

Prescription Glasses

Plenty of choices to fit your style and budget

Lenses once every plan year

Fully covered after a $20 copay at VSP DoctorsSingle vision, lined bifocal and lined trifocalPolycarbonate lenses for children and handicapped dependents or monocular membersScratch resistant coating for all membersFrame every other plan year$130 allowance; $150 allowance for featured frame brandsPlus, 20% off the amount over your allowance if you choose a more expensive frameSlide7

Contacts

Plenty

of choices to fit your budget

You can choose contacts instead of glasses every plan year.Maximum patient copay of $60 for contact lens exam (evaluation and fitting)Allowance of $130 applies to contact lenses15% off contact lens exam, evaluation and fitting fee at all VSP DoctorsSlide8

Extra Discounts and Savings

Great savings through your VSP doctor

Average 20-25% savings on all non-covered lens options such as progressive lenses or anti-reflective coating

.20% off additional glasses and sunglasses, including lens options, from any VSP doctor within 12 months of your last WellVision Exam.15% off the cost of contact lens exam.Average 15% off the regular price or 5% off the promotional price of laser vision correction services; discounts only available from contracted facilities.Discount on hearing aids through TruHearing. Visit vsp.truhearing.com for additional information.Slide9

Additional coverage

Diabetic Eyecare Plus

Fully covered after a $20 copay

For routine eyecare and follow-up diabetic eyecare services for members with diabetic eye disease, glaucoma, or age-related macular degeneration (AMD) from your VSP doctor:* Follow up medical eyecare servicesPreventive retinal screenings for members who have diabetes, but don’t show signs of diabetic eye disease*Some health plans require a referral from a primary care physician. VSP pays secondary to your medical planSlide10

Using Your Benefit

It’s a breeze to get started

Find a VSP doctor anytime, anywhere.

Sign on to vsp.com.Call 800.877.7195.Tell the doctor you’re a VSP member and schedule your appointment. Be sure to give the doctor your Ivy Tech C-number .Your doctor and VSP will handle the rest.An ID card isn’t required, but ID cards are available on vsp.com if you want something for your wallet, as a reminder.Slide11

Open Access Network

Seeing a non-VSP provider

If you see a non-VSP provider, you’ll receive a lesser benefit

. You’ll typically pay more out-of-pocket and won’t qualify for valuable discounts through your VSP doctor.Out of Network Allowances Reimbursed to member Exam – up to $45; Single vision lenses – up to $30; Lined bifocal or Progressive lenses - up to $50; Lined trifocal lenses– up to $65; Frame – up to $70; Contacts – up to $105Slide12

Open Access Network

Seeing a non-VSP provider

If you choose to see a non-VSP provider:

Your provider submits a claim.You’ll pay your provider any applicable copays, plus the amount over the reimbursement.You submit a claim for reimbursement.Pay the provider in full at the appointment.Call 800.877.7195 or visit vsp.com to access claim form.Submit your itemized receipts to VSP for reimbursement.Slide13

Member Vision Card

Member Vision

Cards are available online

at vsp.com. Just print, and put in your wallet.Member nameCoverage type (member only or family)Ivy Tech Community College Client ID numberDoctor network name: VSP ChoiceCopaysSlide14

Thank you!