![]() ![]() Vision insurance, on the other hand, is a wellness benefit designed to provide routine eye care, prescription eyewear and other vision-related services at a reduced cost. Regular medical health insurance plans protect you against financial losses due to unexpected eye injuries or disease. In many cases, vision insurance can lower these annual expenses.Ī vision insurance policy is not the same as medical insurance. The cost of routine eye exams and prescription eyewear can be of real concern, especially for large families. Our staff is also always available to answer any questions regarding your benefits. On the basis of internal analysis, VSP states that the potential impact of this bias is minimal.If you do not see your plan listed here, please give us a call and we would be happy to assist you. In addition, the use of provider location in the numerator and, in some cases, patient location from enrollment data in the denominator could also skew results. For the purposes of this analysis, we allocated the denominator count with missing state information to states using the distribution of known state locations. Approximately 8% of patients in enrollment data do not have a state of residence listed and are therefore listed as missing.This data is not updated continuously and may differ from actual numbers of patients. With a vision of providing access to high quality, cost-effective eye care to the world, a group of optometrists founded VSP in 1955. VSP denominator data is limited and is based primarily on employer-provided enrollment rolls.VSP primarily covers routine vision and optometry care and will not include eye care services that are billed to medical insurers, nor any out-of-pocket or unbilled services.Medical diagnoses in VSP claims are likely to underrepresent the true burden of disease and cannot alone be considered prevalence estimates, even for the prevalence of diagnosed condition among VSP patients. For example, even if a patient has an eye disease, this diagnosis may not be present on a claim filed for routine eye exams or glasses. Therefore, diagnosis data on claims may suffer from bias or limited detail. VSP provides payment primarily for routine eye exams and refraction correction, and therefore medical diagnoses are not generally required for payment. Diagnosis information included on claims is intended to justify payment. VSP claims are intended for billing purposes only.VEHSS does not publicly report patient counts for VSP claims.VSP data is a convenience sample and is not nationally representative, although based on our review, about 1 in 4 Americans have VSP coverage and VSP claims represent the majority of the overall US vision insurance market.This analysis is subject to several potential limitations: However, diagnosis rates in VSP claims may be a proxy measure for the rate that these conditions may be identified within optometry practices. VSP claims cannot alone be considered as estimates of diagnosed prevalence. Medical diagnoses are generally not required for payment, thus their inclusion in claims by the billing practice is optional. ![]() While covered eye exams are always reported by VSP, medical diagnoses in vision claims will underrepresent the actual prevalence of medical conditions. VSP claims contain the age and sex of patients, but do not include race/ethnicity. Approximately 85% are Doctors of Optometry (OD, optometrist), and 15% are Doctors of Medicine (MD, ophthalmologist). VSP’s national network contains about 33,000 eye care professionals. VSP processes claims in every state, but market penetration varies by state. VSP does not report their patient volume, but reports that more than one in four Americans have VSP coverage. But with VSP ® EasyOptions, you can relax knowing your clients’ employees, and their families, each have the flexibility to choose a covered upgrade after they get a prescription from their VSP network doctor. Generally, VSP data includes optometric exams and procedures, diagnoses (refractive errors, eye disease, systemic disease, acute issues), vision correction utilization, prescriptions and materials dispensed, costs, provider information, and patient demographics. Offering the right vision plan for your clients can be a challenge. Managed vision care is a specialized supplemental insurance provided through employers, commercial health plans, Medicare/Medicaid supplemental plans, the federal employees health benefits program, tribes, or purchased individually to provide routine vision care coverage. VSP Vision Care is the nation’s largest managed vision care provider, operating as a nonprofit corporation for over 60 years. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |