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INSURANCE

VISION SERVICE PLAN (VSP) ANNOUNCEMENT

 

Beginning Oct. 1st, 2023, Premier Family Eye Care (PFEC) will no longer be honoring VSP Preferred Provider copays. Due to recent economic inflation and VSP’s refusal to increase provider reimbursements for exams, we are forced to move to a different model. 

To give some perspective, VSP has not increased provider reimbursements for exams or materials since the 1990's. They have, however, increased patient monthly premiums and patient responsible amounts on materials. 

VSP patients will now be responsible for all amounts outside of what their vision plan will reimburse.

For example, Patient A is a new patient and has VSP.

  • Exam Fee: $150

  • VSP Estimated Reimbursement: $45

  • Patient’s Exam Out Of Pocket Responsibility: $105

 

For example, Patient B is a returning patient and has VSP.

  • Exam Fee: $130

  • VSP Estimated Reimbursement: $45

  • Patient’s Exam Out Of Pocket Responsibility: $85

 

In addition, our optical’s pricing structure moves away from traditional al-a-carte pricing model and moves to a packaged based system.

 

We sincerely hope you will give this a try. We have spent years working on pricing that will work for us and to keep you from spending any more than you would if you utilized your vision plan. In most cases, we found out you will end up spending the same amount on glasses. We believe by moving to this model, we will be able to provide you with the quality of care you are accustomed to without being yoked by VSP’s policies. 

 

TO RECAP:

 

  • You have VSP

    • You will be expected to pay our prices up front, minus what VSP will reimburse us. Most VSP plans reimburse you between $45-$200 depending on your choices.

  • You have EyeMed/Spectera/Davis/Superior Vision Plan

    • Nothing will change for you. You will be expected to pay our prices up front. We will file a claim on your behalf and let you know an estimated reimbursement amount ahead of time. 

  • I have March Vision/Visant

    • Sorry, we do not accept these plans. Your visit will be completely cash pay.

  • I have Medicare

    • Nothing changes for you as long as you do not have a Medicare Advantage Plan! 

  • I have Soonercare

    • Nothing changes for you as long as you do not have a Medicare Dual Complete Advantage Plan! 

 

If you have any questions, please do not hesitate to reach out!

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