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PREFERRED
VISION CARE PLUS®
The PVC Plus Plan provides a total vision care program and is available
to Groups of more than 50 such as employer-paid benefit groups, school
districts, and associations. Vision exams are available to a member, spouse,
and dependent children living within the household. (Eligible dependents must
be claimed on the member's federal income tax return in order to qualify for
coverage.) Examinations are reimbursed up to maximum limits based upon
the specific plan selected.
You are free to choose from among the list of PVC Preferred Providers
for your examination, or you may use a Doctor of your own choosing. If
a Doctor outside of the PVC network is selected, reimbursement would be
limited.
The PVC Plus plan would exclude from coverage:
- Surgical procedures
- Treatment for
injuries under any circumstances
- Hospital Services
- Treatment for
conditions, including field examinations and its interpretation, and
other diagnostic procedures
- Examinations,
services or materials provided as a result of any Workman's Compensation
Law or similar legislation, or obtained through or required by any
government agency or program whether federal, state or any subdivision
thereof.
You are responsible for paying the Provider directly at
the time of examination. Reimbursement is then made to you upon presentation
of a valid claim form mailed to the Plan Administrator, Spectrum Benefits
Management Corporation, in the enclosed self-addressed envelope.
Reimbursement applies only for the examination, not for the eyewear or
contacts. Eyewear purchased by a PVCTM member through an approved PVCTMprovider would be at the
specially reduced PVC Provider price.
Questions Answered Regarding PVC
PLUS
Q. Who may participate in the
PVC Plus Program?
A. PVC Plus is only available to Groups such as
employers, school districts and associations. PVC Plus is not available to
individuals and/or their family on a stand-alone basis.
Q. What Is Preferred Vision
Care (PVC)?
A. A nationwide Preferred Provider Organization (PPO) of independent
ophthalmic professionals licensed and trained to provide quality eyecare and eyewear products to members of Preferred
Vision Care.
Q. How Does PVC Work? Whom Can Use
PVC?
A. By presenting your PVC membership card to an Approved PVC Provider, all
eligible members of your immediate family are allowed to purchase eyeglasses
and contact lenses at substantial savings compared to r non-participating
practitioners.
Q. Are There Any Restrictions or
Exclusions? †
A. There are no restrictions or exclusions. PVC applies to all types
and styles of eyewear including Rx sunglasses and contact lenses. The
only requirement is that you use an Approved PVC Provider in your area.
Q. What About Eye Examinations?
A. To assure quality and proper fitting, we encourage all PVC members to
obtain an up-to-date eye examination from a trained and licensed Professional
within the PVC Provider network. Eye examinations are covered by PVC
Plus. You pay the Doctor at the time of the examination. You will then
be reimbursed by the Plan Administrator within a few days.
Q. Can My Optometrist Become a PVC
Provider?
A. PVC is the largest PPO of independent ophthalmic professionals in the United States
and is adding to its list of Approved PVC Providers regularly. If your
Optometrist is interested in learning more about PVC, he can call
913-451-1672 and contact the Provider Resources Department.
Q. What is a Dispensing Fee?
A. A dispensing fee is the cost of fitting the eyeglasses charged by the
PVC Provider. Since the PVC Provider is selling you his materials at
specially reduced pricing, the dispensing fee is his charge for the time it
takes to fit and service the patient.
Q. What Forms Do I Fill Out? Whom
Do I Pay?
A. Merely pay the PVC Provider the specially reduced cost of your
glasses/contacts at the point of service. Your savings are realized
immediately! For examinations, pay the PVC Provider at the time of your exam.
Then merely put the Doctor's bill in the self-addressed envelope enclosed
with this letter. A reimbursement check will be sent to you by the Plan
Administrator within a few days.
Q. How Will I Know If I Paid Only the Special
Member Cost? *
A. Each PVC Provider is under a legal contract with Preferred Vision CareÒ to
service PVC members under a special pricing formula. If you have any
questions about this issue, merely call 913-451-1672 and our trained and
courteous Customer Service Representatives will be happy to take care of you
with a complete explanation of any/all charges.
Q. How Do I Find the Most
Convenient PVC Provider Location?
A. Simply refer to the PVC Provider directory enclosed with your member
I.D card. While you are online here on our web site, visit our Online PVC Provider
Directory. Pick out the location nearest to your home or business
and call the PVC Provider for an appointment.
Q.
Whom Do I Call If I Have Any Questions?
A. Simply call 913-451-1672 and contact the Customer Service Department.
We are standing by to serve you.
† PVC® allows for up to a 20%
discount on disposable contact lenses from usual and customary charges for
the first time supply (minimum 3 months) one time per year. After the initial
supply, the member may be responsible for paying usual and customary charges.
* With
respect to Providers who are participating in a Preferred Vision Care
sponsored fee research and development program, member shall be entitled to
purchase frames, eyeglass lenses and any/all options at guaranteed
“everyday low prices” plus an additional 5 to 20% off. No
additional dispensing fees apply under this research and development program.
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