Some patients have vision coverage from more than one benefits plan, either multiple VSP plans or a VSP plan and a medical plan. In these situations, coordinating benefits will help your patients maximize their coverage and lower costs. This section includes guidelines for coordinating benefits for your VSP patients. Every practice and patient is unique, and these guidelines are intended to provide best practices to help realize the full value of your patient’s coverage. You can also find guidelines for supplemental plans under that plan’s information in the Plans and Coverages section.

Please discuss billing options, including coordination of benefits (COB), with your VSP patient to identify ways to maximize value for them and create additional revenue opportunities for your practice.

If your patient requests COB, the following guidelines apply when your patient’s coverage is with two VSP plans or when a non-VSP plan is primary and a VSP plan is secondary.

If your patient’s VSP plan is primary and any other insurance plan is secondary, call VSP at 800.615.1883 to request a letter detailing your patient’s out-of-pocket expenses that can be shared with the secondary insurer.