VSP Vision Care (VSP) is a vision care health insurance company operating in Australia, Canada, Ireland, the US, and the UK and is a doctor-governed organization. Social Security Number*: 5. Both numbers are located on the front of your member ID card. another insurance company has made payment to VSP Member Reimbursement Form To request reimbursement, complete this form (in blue or black ink), enclose a legible copy of your itemized receipt(s), and send them to the following address. Be sure to keep a copy for your records. VSP PO Box 997105 Sacramento, CA 95899-7105 Check here . Email (if available): 7. Other Insurance Coverage: VSP cannot coordinate plan benefits payable under this Policy with any other private or government insurance plan, including any other plan underwritten by VSP. Address or PO Box: City: State: ZIP: 3. Sign up with VSP today. All VSP systems are available for your use, including Member Services and out-of-network claim submission. Call 800.877.7195 to reach VSP Vision Care or 888.867.8867 for other lines of business. We respect your privacy. Choice of Providers Choose a VSP network doctor, visit a participating retail chain, or any out-of-network provider. We won't share your name or e-mail address with anyone outside VSP's family of companies. Member: Charles peter Jr. Coverage Type: Family Client ID: 12345678 0003 0005 Doctor Network: VSP Choice Copays: Exam: $10 Lens: $10 Frame: $10 Be sure to provide all 17 digits when contacting VSP regarding eligibility, services, benefits or claims. Covered Persons may obtain details regarding frame brand availability from their VSP Member Doctor or by calling VSP’s Customer Care Division at (800) 877-7195. Claims must be filed with VSP within 6 months after seeing the doctor. Section 1 – Member Requesting Authorization to Use or Disclose Protected Health Information (Please print clearly) 1. VSP Vison Care has robust business continuity plans in place to ensure our service commitment to our members and Programme providers. Member ID Number: 4. Be sure to keep a copy for your records. Imagine a plan that provides high member value, drives utilization and satisfaction, and focuses on the overall health of the member, all while saving you and the member … With 10,000 new retirees every day and a growing population of gig workers, increased revenue and automatic renewals are on the horizon. VSP Member Reimbursement Form To request reimbursement, complete this form (in blue or black ink), enclose a legible copy of your itemized receipt(s) and send them to the following address. You may file a complaint with VSP through vsp.com, or by calling our Member Services Department at 800.785.0699. Education and Training Resources. Member portal log in Find an eye care professional Virtual open enrollment experience LASIK discounts Hearing aid discounts We encourage you to call your eye care professional to confirm they are open before you seek care. Get started by creating a vsp.com account and subscribe to receive information about your benefits. Let us show you how. Invalid Phone Number Contact Reason Benefits and Eligibility Claim Payment Claim Submission Complaints Contract Addendum Inquiry Member/Dependent Issues Password Help Provider Feedback Registration Help System Issues Data Protection Other Learn about VSP's products & Support your clients Passion for people. To locate a participating VSP doctor, click here or call the number on your ID card. See the savings Simply call a VSP network doctor to schedule an appointment and tell them you’re a VSP member. VSP Member Reimbursement Form To request reimbursement, complete this form (in blue or black ink), enclose a legible copy of your itemized receipt(s), and send them to the following address. Register for instant access to your personal programme information. VSP Member Reimbursement Form To request reimbursement, complete this form (in blue or black ink), enclose a legible copy of your itemized receipt(s), and send them to the following address. As a VSP member, you have access to doctors who provide great and affordable eye care and eyewear. You must submit a written cancellation request to Member Services at application@vspdirectpayment.com, or P.O. VSP Vision Care is the only national not-for-profit vision benefits and services company with more than 60,000 clients and 88 million members. Welcome to VSP® Vision Care. Select Vision Service Plan or VSP from the Insurance Name drop-down menu. Type the last four digits of primary member’s social security number or unique ID in the Insured ID (Box 1a)text box or select the Patient SSN check box. Your VSP member ID is your Providence Health Plan member ID number* plus your Providence Health Plan Group number. PRIVACY PRACTICES. We are here for you and your practice during this uncertain time. Contact VSP Perform one of the following: If the patient is the subscriber/member: Click Yes. Alternatively, you can enter the complete social security number or VSP unique ID number… The itemized bill must be sent to VSP along with the member’s name and mailing address, social security number, and date of birth. Cell Phone Number: 8. For questions about your VSP ID number, please contact VSP Member Services at 1-800-877-7195, M – F, 6 a.m – 7 p.m. and Sat., 6 a.m. – 2:30 p.m. The covered member's Social Security number or VSP member identification number The covered member's name, phone number and address The name of the group that provides your VSP coverage The patient's name, date of birth, phone number and address The patient's relationship to the covered VSP member (such as "self," "spouse," "child," "student," etc At your appointment, identify yourself as a VSP Choice Access Plan member and present your ID card. Let’s connect. A message appears, asking if the patient is the subscriber/member of record for VSP. Date of Birth (MM/DD/YYYY): 6. Member Extras From your eyewear to experiences for the family, you’ll have access to exclusive offers from VSP and leading industry brands, totaling over $3,000 in savings. How VSP Uses and Discloses Information About You Are you ready to review your benefit information, and access your personalized plan coverage details? In addition to selling group VSP plans, catch the next revenue wave by offering VSP ® Individual Vision Plans. Vision for life: ect tor membe r new member REASONS YOU'LL Vsp watch the "idea FIVE REASONS YOU'LL LOVE vsp You only want the best for your eyes and VSP helps keep them Watch the video Read more WELCOME STATE OF CALIFORNIA RETIREE/ANNUITANT! Premier Academy360 will continue to provide webinars and online educational resources as we continue to navigate COVID-19 together.We’ll be partnering with HR professionals, ODs, and industry leaders to deliver timely and valuable content to support you and your practice. Click + Check for VSP Insurance. Fortunately, VSP makes it easy. An ID Card, or Member Vision Card, is NOT required for you to receive services or care. Enter the patient’s SSN or unique V SP Member ID, if necessary. here another insurance company has made payment to Box 2568, Frisco, TX 75034, or fax to 888.335.7330. First Name: Middle Name/Initial: Last Name: 2. work with vsp vision care EYEWEAR We’re here to help. VSP Member Reimbursement Form To request reimbursement, complete this form (in blue or black ink), enclose a legible copy of your itemized receipt(s), and send them to the following address. VSP PO Box 997105 Sacramento, CA 95899-7105 Check here another insurance company has made payment to The doctor and VSP handle the rest! VSP PO Box 997105 Sacramento, CA 95899-7105 Check. Please Contact Us … Please note: This form is for Managed Care Organizations who are inquiring about vision benefits for their members.If you’re a VSP member and need to contact us, click here. WHY REGISTER? VSPOne Labs are continuing to take a number of important precautions to ensure the safety of Providers, Patients and our Employees during this time: Lab shift schedules have been adjusted to allow our employees sufficient time for increased cleaning and disinfection of the facility and their workstations. Patient Information: Patient’s Name: _____ Date of Birth: _____ Relationship to Member: _____ If the patient is a child over the Plan’s age limit: Is the child a full time student? Box 997105, Sacramento, CA 95899-7105. This information must be mailed to Vision Service Plan, Attn: Non-Member Doctor Claims, P.O. If you wish to have a card, you can access your Member Vision Card under the My Benefits section of vsp.com. PATIENT OPTIONS This vision service plan is designed to cover visual needs rather than cosmetic materials. The VSP Member ID is alphanumeric and can be up to 30 characters. If you don’t know your new VSP ID number at the time of the call, provide your social security number as identification. Create an Account. Your account makes it easy to get the info you need about your No question is too big or small. VSP will not retaliate against you for filing a complaint. VSP members get an extra $20 to spend on featured frame brands*. Do I need an ID card to get services? VSP Global is a doctor-governed company that exists to create value for members and opportunities for VSP network doctors. Be sure to keep a copy for your records. Social Security number/member ID; service date; diagnosis information; claim information; Treatment The provision, coordination or management of vision care and related services by one or more vision care providers. 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