Contact us with questions at: VSP Provider Specialist email@example.com 800.742.6907, option 3 1. Department of Health and Safety 2, Chapter 2.2 Plans for Health Services. California legislative information. Available at leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC§ionNum=1371.1. Access 1/7/19. 2. AB-1092 Health Care Plans: Vision Care Services: Suppliers: Fraud. California legislative information. Available at leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB1092. Access 1/7/19. When a participant receives an eye exam from a VSP network physician or non-VSP provider or receives glasses or contacts, they are subject to the corresponding co-payment, as shown in the table below.
A participant gets the best benefit of the VSP benefit when they see a VSP network doctor. When a participant receives scheduled benefits from a non-VSP provider, they must pay the entire supplier at the time of service. The member is reimbursed by VSP in accordance with the repayment plan in the repayment plan. Services provided by non-VSP service providers are subject to the same surcharges and restrictions as services provided by PSV service providers. It is important to become a VSP provider as a new graduate optometrist. Here is a step-by-step guide on how to become a VSP provider in your country. When a member receives benefits from a non-VSP provider, they are required to pay the full bill at the time of delivery and to claim reimbursement of benefits (minus applicable surcharges) in accordance with the benefit summary in the table below. For more information on what is covered and what is not part of the plan, participants should contact VSP by calling 1-800-877-7195 or by visiting the VSP website. Finally, the review of contract suppliers during the period during which VSP followed the law seemed to be almost over. However, with the new law, optometrists should expect VSP to resume reviewing its suppliers. Like every January 1st, new laws come into force. One of them that will have an impact on all vision Service Plan (VSP) contract providers – most of whom don`t even know it concerns them – is a change in the California Health and Safety Code.1 As the country`s largest provider of vision benefits, we offer a variety of services and programs to establish and expand your practice.
Participants pay only a supplement to a VSP physician for benefits. VSP will pay the VSP doctor directly after the plan is agreed with the doctor. The VSP vision plan gives participants the flexibility to obtain services from a VSP network physician or a non-VSP provider. A VSP doctor does not need a referral or ID card.