Eligibility & Authorization
Copays
Copay information is provided when you obtain an authorization.
Note:
Don’t waive copays.
Coordination of Benefits (COB)
With the exception of the secondary allowances, the VSP Choice Plan® COB guidelines are the same as the VSP Signature Plan®. For additional information, see Coordination of Benefits in the VSP Manual.
The following table shows you how to use the secondary plan to coordinate benefits based on your network participation.
|
Patient's Primary Plan |
Patient's Secondary Plan |
Your Network Participation |
Then |
|
VSP Choice Plan |
VSP Signature Plan |
Choice Network |
You'll be reimbursed based on the VSP Signature Plan COB allowances (see COB rules for exceptions). |
|
VSP Choice Plan |
VSP Signature Plan |
Non-Choice Network |
We'll reimburse the patient based on the VSP Signature Plan non-VSP provider reimbursement schedule if out-of-network coverage is available. |
|
VSP Signature Plan |
VSP Choice Plan |
Choice Network |
You'll be reimbursed based on the VSP Choice Plan COB allowance (see COB rules for exceptions). |
|
VSP Signature Plan |
VSP Choice Plan |
Non-Choice Network |
We'll reimburse the patient based on the VSP Choice Plan non-VSP provider reimbursement schedule if out-of-network coverage is available. |