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. |