It is recommended that VSP doctors use the VSP Savings Statement with VSP patients. Studies show patients are more satisfied when they get a statement during an office visit.

An automated version of the VSP Savings Statement is available when doctors submit a patient’s claim through the Eyefinity^® eClaim system. The statement is automatically completed based on a patient’s claim information entered into eClaim and is available through the Report Window on eyefinity.com.

To help offices use the automated VSP Savings Statement, we’ve also implemented several new requirements:

• A patient signature is no longer required on the statement.
• If you dispense contact lenses or glasses, the automated statement can be provided when a patient picks up materials.
• Doctors don’t need to keep a copy of patients’ completed statements.

If patients don’t order materials, please give them VSP Savings Statements during the office visit.

Doctors can get blank copies of the statement in the “Tools and Forms” section or under “Working with VSP” on VSPOnline at eyefinity.com. Doctors may give a paper copy to patients if they choose.

You can show you gave a savings statement by choosing the right check box when submitting claims through Eyefinity’s eClaim system.

At this time, patients in the following plans and programs shouldn’t get savings statements:

• Medicaid and SCHIPS
• VSP Primary EyeCare Plan^SM
• VSP Diabetic Eyecare Plus Program^SM
• VSP Laser VisionCare^SM
• Vision Therapy
• Repair