VSP® Vision Savings Pass™
VSP Vision Savings Pass is a non-insurance product that offers patients clear, straightforward pricing for an exam and glasses. It provides a competitive national fee schedule, special pricing on lens enhancements, and savings* on frames and contact lens exams.
Eligibility & Authorization
Obtain eligibility on eyefinity.com or by calling VSP at 800.615.1883.
VSP Vision Savings Pass is listed on the VSP Patient Record Report under Benefit.
Note:
Coordination of benefits is not allowed because this is a non-insurance product.
Exam Services
Patients are eligible for an annual eye exam. Charge $50 for the exam with the purchase of complete pairs (lenses and frame)* of prescription glasses (bill the exam with glasses, on the same claim, to ensure accurate claim processing). Patients who select contacts or who don’t purchase prescription glasses pay 80% of your U&C fee for the exam.
- Savings only applies to services and procedures included in a WellVision Exam®. It doesn’t apply to additional diagnoses and treatment.
- Use professional judgment when evaluating prescriptions from another doctor. You can request an additional routine exam at 80% of U&C.
- Retinal screening: patients pay $39 or your U&C fee, whichever is lower.
See Client Exceptions below.
Materials
Use the following to charge eligible patients for frames, lenses, and lens enhancements when a complete pair of prescription glasses is dispensed. Eligible patients can receive unlimited complete sets of prescription glasses or plano (non-prescription) sunglasses from any VSP doctor.
Note:
Patient is not required to receive exam from your office to receive savings. Use professional judgment when evaluating prescriptions from another doctor.
Frame: patients pay 75% of the retail price of the frame.
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Base lenses: patients pay a flat rate for base lenses, as follows: |
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|---|---|
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Single vision |
$40 |
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Bifocal |
$60 |
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Trifocal |
$75 |
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Lenticular |
$75 |
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Progressive |
$60 base lens + Choice lens enhancement fee |
Lens enhancements: use the Choice Plan Lens Enhancements Chart to determine patient pricing for lens enhancements.
Non-prescription glasses or sunglasses: charge 80% of U&C for complete pairs of non-prescription glasses or sunglasses dispensed within 12 months of the exam.
Be aware of the following materials requirements:
Note:
Claims that don’t meet these requirements will be denied.
- Must provide complete pairs of glasses with both lenses and frame
- Only complete sets of lenses (includes balance lenses)
- Proprietary lens and frame are not allowed
- Frame must be doctor-supplied (not lab or patient-supplied)
- In-office finishing or the use of a non-VSP Choice Network Lab is not allowed.
Contact Lens Services
Charge eligible patients 85% of U&C for contact lens exam services (F&E) and follow-up services, and 100% of U&C for contact lens materials.
- Applies to services for prescription contact lenses only.
- Is unlimited for 12 months on or following the date of the last eye exam.
- Is available through any VSP doctor. Use professional judgment when evaluating prescriptions from another doctor.
- Discount doesn’t apply to contact lens materials, solutions, cleaning products, or service agreements.
These benefits are considered a private transaction between you and your patient; your patient is responsible for paying for the services or materials.
Note:
Unless otherwise indicated on Patient Record Report, handle contact lens services and materials as a private transaction, no claim submission required. If submitted, contact lens services will be denied.
VSP Laser VisionCareSM Program
Patients are eligible for the Laser VisionCare Program. Refer to the VSP Laser VisionCare Program page in the VSP Manual.
See the Laser VisionCare Program section under Programs on VSPOnline at eyefinity.com for information on how to participate or for a list of participating facilities.
Lab
Orders must be sent to a VSP Choice Network Lab. Use of a private lab or in-office finishing is not allowed and will cause the claim to deny.
Submitting Claims/Billing
Claims may be submitted electronically or on paper. See the Submitting Claims section in the VSP Manual for details.
Note:
Be sure to bill the exam with glasses on the same claim for accurate claim processing. Don’t split the billing.
Reimbursement
Note:
The patient pays the majority of the fees to your office directly. Just like any other VSP Choice Plan, VSP pays the lab on your behalf—so the “VSP Pays Doctor” column on your EOP will show a negative amount.
Professional Services
Eye exam: When billed with prescription glasses, you’ll be reimbursed by VSP according to your Choice Network fees. Without prescription glasses, patient pays you directly at 80% U&C.
Contact lens exam (fitting and evaluation): patient pays you directly at 85% U&C.
Retinal screening: patient pays you directly, up to $39.
Materials
Base lenses: you’ll be reimbursed according to your Choice Network fees.
Lens enhancements: your service fees and chargebacks will be calculated as usual based on the VSP Choice Plan Lens Enhancement chart to cover material costs.
Contact lenses: patient pays 100% of U&C directly to you.
Non-prescription sunglasses: patient pays 80% of U&C directly to you for complete pairs of non-prescription sunglasses and blue light filtering glasses dispensed within 12 months of the exam.
Frame: Your frame compensation is calculated using the wholesale frame allowance (up to $57), plus your Choice Plan frame dispensing fee, plus 80% of the retail price over $150, which is the same as your Choice fees.
Example: Patient chooses a frame with a retail price of $200 and wholesale cost of $76.
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Patient pays: |
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|---|---|
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Retail frame price |
$200 |
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Subtract 25% savings |
-$50 |
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Patient pay |
$150 |
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VSP Choice compensation allowed amount: |
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|---|---|
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Wholesale frame allowance |
$57 |
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Choice Network frame dispensing (varies by practice) |
+$19 |
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80% of the retail price over $150 (80% of $50 = $40) |
+$40 |
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Total compensation |
$116 |
The difference between what the patient pays and the total compensation amount is a chargeback (-$34).
The chargeback is collected from the patient’s payment to cover administrative costs of the program.
Client Exceptions
Members of the following clients pay a flat $50 exam fee, regardless of glasses purchase:
- Vermont Health Plan (only applies to some pediatric members)
Refer to the member’s Patient Record Report to verify patient pay amount.
*VSP does not require providers to provide discounts on non-covered services in states where it’s prohibited by law to require it. However, unless you’ve opted out, you should continue to provide all Value Added Benefits to all VSP members. For more information, including details regarding how to opt out, call VSP at 800.615.1883.