Do members need an ID card? 2. Members can pay the provider directly and An ID card, or Member Vision Card, isn’t required submit a claim to VSP for reimbursement, for members to receive services or care. Members using the following procedure: simply call a VSP network provider to schedule A. Visit the Bene昀椀ts & Claims section of an appointment and tell them that they’re a VSP www.vsp.com to begin a claim. member. The network provider and VSP handle B. The member should 昀椀ll out the claim the rest. If a member wishes to have an ID card, form completely and submit an itemized they can create an account and log in at receipt or statement that includes: www.vsp.com to print one. • Doctor name or o昀케ce name How do members obtain a list of VSP • Name of patient network providers? • Date of service • Each service received and the • They should visit www.vsp.com or contact amount paid VSP at 800-877-7195. Clients registered for the C. Submit claims online at www.vsp.com Manage Your Plan section at www.vsp.com can or mail to: download customized VSP network provider VSP lists as PDF or Excel 昀椀les. PO Box 385018 • Members and dependents have instant access Birmingham, AL 35238-5018 through www.vsp.com to check coverage and Please note that claims for reimbursement must eligibility, 昀椀nd a VSP network provider and be 昀椀led within 12 months of the date of service. learn more about eye care wellness. Members will be reimbursed according to the How do members collect reimbursement out-of-network reimbursement schedule. after visiting an out-of-network provider? When services and/or materials are obtained from an out-of-network provider, members have two reimbursement choices: 1. Most out-of-network providers will submit a request for reimbursement on behalf of VSP members. This means members won’t need to pay their entire bill upfront and will only be responsible for paying applicable copays and any balance above their out-of- network schedule. Choose DeltaVision and o昀昀er your groups better choices, smarter savings and the best care. See the di昀昀erence. Contact your Delta Dental sales representative today. FLI-6684 v1 Delta Dental of Michigan, Ohio, and Indiana C3 6/23

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