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VSP Proprietary and Confidential
State of New MexicoVision Benefits
“Effective July 1, 2012”
VSP Proprietary and Confidential
State of New Mexico & Vision Service Plan
• About VSP Vision Care®
• Update to State of New Mexico vision benefit
• Contacting VSP
• Making an appointment
• Our Promise
VSP Proprietary and Confidential
About VSP
We care about you and your eyes.
• 56 years of helping people see well, stay healthy, and fulfill their potential
• We work with the best doctors
• Over 130 preferred providers in New Mexico
• Over 250 preferred provider access points including Texas, Colorado and Arizona
• We give back! Sight for Students has provided eye exams and glasses for 500,000+ children nationwide
VSP Proprietary and Confidential
Your Eyecare Plan
Coverage from a VSP Preferred Provider Coverage from Costco
Frequency Exam and Lens every12 months
Frame every 24 months
Copay Exam $10 Materials (total) $15 WellVision Exam
Covered in Full, after applicable copay
Lenses Covered in Full, after applicable copay,
single vision, lined bifocal and lined trifocal
Polycarbonate lenses for dependent children
Lens Options
35 - 40% off lens options n/a
VSP Proprietary and Confidential
Your Eyecare Plan
Coverage from a VSP Preferred Provider Coverage from Costco
Frame* Covered in full up to retail allowance of $130
20% off any amount exceeding allowance
• $70 allowance at Costco
Contact Lenses
• $110 allowance for contacts and contact lens exam
• 15% off the cost of contact lens exam (fitting and evaluation)
• You can apply your materials allowance toward the purchase of any contact lens brand of your choice.
• $110 allowance for contact lenses only
• Contact lens exam is not covered
*new: increased frame allowance effective July 1, 2012
VSP Proprietary and Confidential
Extra Discounts and SavingsGreat savings through your VSP doctor
Coverage with a VSP Doctor Coverage from Costco
Extra Discounts and Savings
• 30% off additional pairs of prescription glasses and sunglasses, from the same VSP doctor on the same day as your Well Vision Exam
• 20% off additional pairs of prescription glasses and sunglasses from any VSP doctor within 12 months of the last covered exam
• Guaranteed pricing on retinal screening
No additional discounts
VSP Proprietary and Confidential
Extra Discounts and SavingsGreat savings through your VSP doctor
Coverage with a VSP Doctor Coverage from Costco
Extra Discounts and Savings
• Average 15% or 5% off the promotional price of laser vision correction services
– Discounts only available from contracted facilities
• After laser vision correction, use your frame allowance (if eligible) for sunglasses from any VSP doctor
No additional discounts
VSP Proprietary and Confidential
Benefits with Other Providers
• If you see a out-of-network provider, other than a VSP doctor or Costco, you’ll:– Receive a lesser benefit– Typically pay more out-of-pocket, and – Won’t qualify for valuable discounts– Submit a claim for reimbursement
• Some providers will submit your claim for you, visit vsp.com for details.
VSP Proprietary and Confidential
Benefits with Other ProvidersOut-of-Network Reimbursement Schedule
Open Access Coverage
Eye Exam $35
Single Vision Lenses $25
Bifocal Lenses $40
Trifocal Lenses $55
Lenticular Lenses $80
Frame $35
Contact Lenses $110
Contact VSP Customer Service prior to receiving open access services:
800.877.7195
VSP Proprietary and Confidential
VSP Member Services
• Call VSP Member Service at 800.877.7195 to:
– Find a doctor or check benefits information.
• Representatives are always available to answer your questions.
– Interactive Voice Response available 24/7 to order doctor directories and confirm eligibility
VSP Proprietary and Confidential
VSP Member Services• Visit vsp.com
on your computer or smartphone to:
– View your personalized benefits information.
• Create your own unique user ID and password
• No SSN required to login
– Find a VSP doctor or affiliate provider.
• Including address, hours, language and location by map
– Check savings from your previous doctor visit.
– Eye health & wellness education
– Get eyecare information, news, and trends.
VSP Proprietary and Confidential
Making an Appointment
• Find a VSP doctor or affiliate provider anytime, anywhere.– Sign on to vsp.com or call 800.877.7195
• Review your benefit information before your appointment at vsp.com.
• At your appointment, tell them you’re a VSP member. – Provider you member ID number OR– Member’s last name and date of birth AND– Patient name, relationship and date of birth
That’s it! We’ll handle the rest
VSP Proprietary and Confidential
VSP Members are Satisfied!
* Survey conducted online by Synovate in Q4 2009 with members of four national vision plans that provide fully insured benefits to at least five million members.
• In a recent study, when compared to other national vision plans, our members ranked VSP:
– Highest in member satisfaction
– Highest in satisfaction with doctor network
– Highest in satisfaction with costs
• Low out-of pocket costs
• Affordable eye exams
• Affordable eyewear
You will be100% happy or
we’ll make it right.It’s that simple.
VSP Proprietary and Confidential
Thank you
