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Thread: Managed Care - VSP / EyeMed

  1. #26
    Independent Owner kcount's Avatar
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    Quote Originally Posted by drk View Post
    Ah, the debate about the usefulness of the vision care plans.

    They serve the providers and the plans, but not the members or employers.

    The only good thing is that members get to spend pre-tax dollars. That's the only good thing.

    We could solve this problem immediately if we were to just tax-exempt monies spent on our health care.
    I'll vote for that! A definite +1!
    • Optician
    • Frame Maker/Designer
    • Teacher of the art of crafting handmade eyewear.

  2. #27
    Rising Star n711's Avatar
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    Quote Originally Posted by GokhanSF View Post
    I wouldn't choose either one. Look into Spectera

    There IS a reason they call it "SpecTerrible".... hmm, wonder why they changed their name! hahaha

  3. #28
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    Quote Originally Posted by rdcoach5 View Post
    ding ding ding ding !!!! Winner !!!
    What a concept. Eliminate the cost of the insurance beauracracy.
    Vision Essentials by Kaiser Permanente already offers flat allowance plans. Very easy to administer and gives patients the greatest flexibility to choose the product on which they want to spend their benefits.
    Susy Yu, OD, MBA, FAAO

  4. #29
    OptiBoard Apprentice Optical Options's Avatar
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    I am a Ohio Optician owned practice with out a eye doctor on premises. Eye med sent a letter of rejection to my practice due to it not being full service yet
    another optician owned practice with out a eye doctor on premises is on the Eye med network 2 miles from me. Not that I believe eyemed or lux is God but everything helps. Does any one have any advice?
    Have a stress free day
    A.A.S., LDO, ABOC, NCLE

  5. #30
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    Dear Optical Options,

    There only a few alternatives for you. In reference to the colleague 2 miles away, that may be a "grandfather" who got in before the new requirements.

    1. Negotiate for an onsite OD
    2. Buy $20,000 worth of Luxottica frames and you will probably get on EyeMed

  6. #31
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    Quote Originally Posted by drk View Post
    Ah, the debate about the usefulness of the vision care plans.

    They serve the providers and the plans, but not the members or employers.

    The only good thing is that members get to spend pre-tax dollars. That's the only good thing.

    We could solve this problem immediately if we were to just tax-exempt monies spent on our health care.

    You need to spend a day on calls with the local VSP Sales rep calling on clients and then enjoy some joint conversations with the benefits managers. You're local, call them. I bet you might find they'd entertain you.

  7. #32
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    Quote Originally Posted by npdr View Post
    Dear Optical Options,

    There only a few alternatives for you. In reference to the colleague 2 miles away, that may be a "grandfather" who got in before the new requirements.

    1. Negotiate for an onsite OD
    2. Buy $20,000 worth of Luxottica frames and you will probably get on EyeMed
    There are others. I'll pm you.
    Ophthalmic Optician, Society to Advance Opticianry

  8. #33
    Master OptiBoarder OptiBoard Silver Supporter Barry Santini's Avatar
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    Quote Originally Posted by Fezz View Post
    Why not just give them a flat amount to use towards eyewear/eyecare?
    If *I* were a benefits administrator, I'd contract with Zenni and give the members a $30.00 gift certificate.

    That. Should. Do. It.

    B

  9. #34
    OptiBoardaholic kentmitchell1961's Avatar
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    [QUOTE=optical24/7;424750]Almost all VSP providers also accept EyeMed vs All EyeMed providers aren't allowed to accept VSP. As example independent opticians can accept EyeMed but are blocked from VSP. (There's some dang good opticians that own their own place.)

    I work for an independent that happily takes both. VSP web page is a bit of a nightmare compared with eyemed and won't let a patient use non vsp labs (so no Mauis or Oakley sun) but are reliable and have good customer service. Eyemed does not really care what lab you use but cs can be dodgy.

  10. #35
    Master OptiBoarder OptiBoard Silver Supporter rdcoach5's Avatar
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    Quote Originally Posted by Barry Santini View Post
    If *I* were a benefits administrator, I'd contract with Zenni and give the members a $30.00 gift certificate.

    That. Should. Do. It.

    B
    Quit saying that, they might take you seriously.

  11. #36
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    For the optometrist it's a real pain to file a claim for any assignment claims through Eyemed. It's going to take the front office a lot of time on the phone to find out if the patient is eligible, then you have to fill out the online form with patient's information and then the employee's information all over again. There is no box to check that the dependent and employee have the same address, phone number etc. So if you get a husband and wife with 3 kids you'll be filling in the address, phone number, marital status, student status, 9 different times to get a measly $40 each for your exam. I complained about it. It should be easy to just have a box to check (similar to when the billing and shipping address are the same for credit card orders) but with this company nothing is ever done to increase efficiency.

  12. #37
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    [QUOTE=kentmitchell1961;438238]
    Quote Originally Posted by optical24/7 View Post
    Almost all VSP providers also accept EyeMed vs All EyeMed providers aren't allowed to accept VSP. As example independent opticians can accept EyeMed but are blocked from VSP. (There's some dang good opticians that own their own place.)

    I work for an independent that happily takes both. VSP web page is a bit of a nightmare compared with eyemed and won't let a patient use non vsp labs (so no Mauis or Oakley sun) but are reliable and have good customer service. Eyemed does not really care what lab you use but cs can be dodgy.
    Use the special lens allowance, quite easy after spending an hour studying it and can you a little more if your prices are right.

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