VSP Updates

Refraction Claims Can be Submitted to EyeMed for Nearly All Plans

New Exclusive Offers from the VSP Global® Premier Program

Practices that participate in the VSP Global Premier Program can now take advantage of new special offers designed to help save time and money in your practice.

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VSPOne® Rewards and Enhanced UNITY® Savings –Earn an extra five points (up to 30 points per order) when you add UNITY AR Coating or Sharper Image®TechShield to a UNITY lens when ordered through a VSPOne Optical Technology Center. Use these points for yourself or as a reward for your staff by redeeming for merchandise, services, gift cards, travel and more! Practices that participate in the Premier Program can now earn up to $61 when they order UNITY lenses from a VSPOne Optical Technology Center–that’s $17 more per order than those who do not participate in the Premier Program.

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While it’s true EyeMed does not typically coordinate benefits, we will pay for refraction if a member’s medical plan denies the refraction portion of the eye exam, as long as the member is eligible for eye exam benefits. The only exceptions are Tufts Health Plan and Lockheed Martin. Whether the member’s plan is EyeMed or Blue View Vision, please apply this process.

To file a claim for the refraction, first file the eye exam claim with the medical plan. After the refraction is denied, submit a CMS 1500 form to us with a copy of the denial. We’ll reimburse up to the U&C for the refraction according to the member’s exam benefits. Please note this will use the member’s entire eye exam benefit for the plan year.

Our official refraction only policy is published in the Provider Manual. If you have questions or need assistance, call customer care at 888.581.3648.

Send your refraction-only claims to: Fax: 866.293.7373

Mail: EyeMed/FAA

PO Box 8504

Cincinnati, OH 45040