MAY 2020
Aetna
If any downloading instances are found ease double check your coding, then if valid alert me or the AOA.
Eyemed
Recent Eyemed audits are unfortunately valid. Please contact them and alert them they are not appreciated, but Wyoming has no insurance recall deadline (that my research has turned up). This applies to any insurances.
VSP Savings Pass
Watch for this new VSP choice plan. It is a privately bought plan. The VSP manual has specific instructions. It is not a discount plan, but you DO submit and get reimbursed your choice rates. The authorization states SAVINGS PASS, and looks different than others. Your are required to take this as a VSP Choice Provider.
"In a nutshell, a non-insured patient would receive a comprehensive exam and pay a $50 fee if they purchase frames/lenses. If they do not purchase frames/lenses, they will receive 20% off the doctor's usual and customary exam fee.
When the patient purchases frames (with a prescription), they will receive a 25% discount from the doctor's usual and customary fees. If they purchase non prescription sunglasses, they will receive a 20% discount off the doctor's usual and customary fees.
Lens coverage includes a reduced fee based upon the type of lens (single, bifocal, or trifocal). Lens enhancements are also discounted from the network doctor's usual and customary fees.
This plan also includes a 15% discount off the doctor's usual and customary fee for contact lenses, the discount does not apply to contact lens materials such as solution, etc.
There are other restrictions and limitations, including services and materials must be received within a 12 month period from any VSP network provider. Additionally, the Primary Eye Care that has been extended to most patient plans does not extend to this plan." From Nancy Knopp, North Dakota E.D.
Jaime Hazen, drhazen@mudpringsvision.com
WOA Director
Third Party Committee