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WorksheetsHow to Find/Read Vision Benefits
Total questions: 24
Worksheet time: 12mins
What are the 3 main Vision Benefits we take?
Spectera, VSP, and Eyesight Plus
Spectera, VSP, and Eyemed
VSP, Eyemed, and Eyesight Plus
UHC, Spectera, and VSP
Where do we pull a VSP authorization in EyeCare?
In the Referral Sources Box
On the routing tab
In the Insurance Box
On the Glasses Screen
What is the main website for VSP?
VSP.com
VisionBenefitsPlan.com
Eyefinity.com
They do not have a website
What is the main website for Eyemed?
Eyemed.com
VisionBenefitsPlan.com
EyeVision.com
They do not have a website
If you can't find a patient's benefits on the website what is another option to do before calling the patient?
Use the same authorization as last year.
Look up other family members, and see if we have pulled a plan for them in the same calendar year.
Call the patient.
Look up the benefits on the website findpatientsvisionbenefits.com
After you pull the benefit what is the last thing you need to do on the patient's demographic before going to the next patient? (If you are pulling benefits before appointments)
Put a note on the ledger
Send an email to the optician scheduled that day
Check it off in the verification spreadsheet
Make an alert to notify what the patient's benefits are
What would an exam with screening photos cost this patient?
$174
$55
$39
$0
If this patient chose out a frame that cost $400 what would be the patient's contribution?
$100
$80
$20
$150
This patient is getting contacts (disposable) that cost $250. What is the patient's cost?
$120
$100
$250
$0
What would the cost be if the contacts were medically necessary?
$120
$100
$250
$0
How much would this plan take the Shamir Autograph Intelligence Lens? (Hint: Premium Lens)
35% off
$100 off
$200 off
20% off
How much are transitions lenses for this patient?
$55
$75
$100
$0
How much would the AR Crizal Prevencia be for this patient? (Hint: Tier 3)
$75
$45
$120
$85
If this patient is ordering non selection contacts with their benefit what does the patient have to pay?
0% of cost
100% of cost
80% of cost
20% of cost
If this patient is ordering selection contacts with their benefit what does the patient have to pay?
0% of cost
100% of cost
80% of cost
20% of cost
Is this patient eligible to use their benefits for glasses?
Yes
No
This picture doesn't say
What would the material 1.67 cost this patient?
$63
$70
$0
$53
How often can this patient use their full vision benefits for frames?
Every year
Twice a year
Every other year
Every three years
How much does this patient get off a frame if the vision benefit was not available?
30%
20%
0%
$150
How much is this patient's CL exam?
$35 or 15% off whichever is cheaper
$55
20% off
The patient is not eligible for a cl exam
This patient has the Easy Options benefit. What does that mean?
The optician chooses one of the options for the patient. Whichever saves the most money for the patient.
The optician chooses one of the options for the patient. Whichever costs the most money for the patient.
The optician asks the patient which option to do.
The plan only works towards one feature, and does not contribute to anything else.
This patient chose out a Calvin Klein frame that retails for $245. How much is the patient's contribution?
$100
$140
$80
$125
How much does this patient have to pay for the exam?
$20
$10
$0
The patient's exam benefit is not available
Can this patient use their benefit for both glasses and contacts in the same year?
Yes
No
Depends on the plan
