Choice of Providers. A Subscriber or Dependent may select any Hospital or Physician to provide covered Services hereunder, including providers outside of California. Benefits differ depending on whether a Participating Provider or a Non-Participating Provider is selected. It is to the Subscriber's advantage to select Participating Providers whenever possible. A Participating Provider Directory is available to all Subscribers by calling Blue Shield at (000) 000-0000 or writing to them at: X.X. Xxx 0000 Xxxxxxx, XX 00000 or X.X. Xxx 00000 Xxx Xxxxxxx, XX 00000 In the event that the inability to perform of a Participating Provider, the breach of the Contract to furnish Services by a Participating Provider, or the termination of a Participating Provider's Contract with Blue Shield may materially and adversely affect the Employer, Blue Shield will, within a reasonable time, advise the Employer in writing of such inability to perform, breach, or termination.
Choice of Providers. The Plan has established a network of primary care and specialty Physicians, Hospitals, Participating Hospice Agencies, and Non-Physician Health Care Practitioners to provide Covered Services to Members. A Member must obtain or receive approval for all Covered Services from his Primary Care Physician. Each Subscriber must select a Primary Care Physician for himself and each of his Dependents from the list of Primary Care Physicians in the HMO Physician and Hospital Directory. The Physician and Hospital Directory will be given to Members at the time of enrollment. A Member’s Primary Care Physician will be accessible to the Member on a 24-hour-a-day, 7-day-a-week basis, or will make appropriate arrangements to assure coverage. Emergency Services will be provided on a 24-hour-a-day, 7-day-a-week basis by all Plan Hospitals. The list of Providers in the Physician and Hospital Directory includes the location and phone numbers of all Primary Care Physicians, Plan Hospitals, and Participating Hospice Agencies in the Primary Care Physician Service Area. Members should contact Member Services for information on Plan Non-Physician Health Care Practitioners in their Primary Care Physician Service Area.
Choice of Providers. The Plan has established a network of primary care and specialty Physicians, Hospitals, Participating Hospice Agencies, and Non-Physician Health Care Practitioners to provide Covered Services to Members. A Member must obtain or receive approval for all Covered Services from his Primary Care Physician. Each Subscriber must select a Primary Care Physician for himself and each of his Dependents from the list of Primary Care Physicians in the Trio HMO Health Plan Physician and Hospital Directory. Members enrolled in this Trio HMO Health Plan may only obtain Covered Services from Primary Care Physicians and Medical Group/IPAs designated as Plan Providers in the Blue Shield Trio HMO Health Plan Physician and Hospital Directory, except for Emergency Services or Urgent Services when the Member is out of the Service Area. The Physician and Hospital Directory applicable to this Plan will be given to Members at the time of enrollment. A Member’s Primary Care Physician will be accessible to the Member on a 24-hour-a-day, 7-day-a-week basis, or will make appropriate arrangements to assure coverage. Emergency Services will be provided on a 24-hour-a- day, 7-day-a-week basis by a Plan Hospitals.
Choice of Providers. The Plan has established a network of primary care and specialty Physicians, Hospitals, Participating Hospice Agencies, and Non-Physician Health Care Practitioners to provide Covered Services to Members. A Member must obtain or receive approval for all Covered Services from his Primary Care Physician. Each Subscriber must select a Primary Care Physician for himself and each of his Dependents from the list of Primary Care Physicians in the HMO Physician and Hospital Directory. The Physician and Hospital Directory will be given to Members at the time of enrollment. A Member's Primary Care Physician will be accessible to the Member on a 24-hour-a-day, 7-day-a-week basis, or will make appropriate arrangements to assure coverage. Emergency Services will be provided on a 24-hour-a-day, 7-day-a-week basis by all Plan Hospitals. The list of Providers in the Physician and Hospital Directory includes the location and phone numbers of all Primary Care Physicians, Plan Hospitals, and Participating Hospice Agencies in the Primary Care Physician Service Area. Members should contact Member Services for information on Plan Non-Physician Health Care Practitioners in their Primary Care Physician Service Area. Blue Shield shall provide written notice to the Employer within a reasonable period of time of any termination or breach of Contract of a Plan Provider if such termination or breach may materially affect the Employer or its Subscribers. Upon termination of a Plan Provider Contract, Blue Shield shall be liable for Benefits rendered by such provider to an eligible Member (other than for Copayments) until the authorized Services being rendered to the Member by the former Plan Provider are completed, unless Blue Shield makes reasonable and medically appropriate provision for the assumption of such Benefits by another Plan Provider. The Provider Directory is also available electronically on the Covered California website.
Choice of Providers. A Subscriber or Dependent may select any Hospital or Physician to provide covered Services hereunder, including providers outside of California. Benefits differ depending on whether a Preferred Provider or a Non-Preferred Provider is selected. It is to the Subscriber's advantage to select Preferred Providers whenever possible. A Preferred Provider Directory is available to all Subscribers by calling Blue Shield at (000) 000-0000 or writing to them at: P.O. Box 7168 San Francisco, CA 94120 or P.O. Box 92945 Los Angeles, CA 90009 In the event that the inability to perform of a Preferred Provider, the breach of the Contract to furnish Services by a Preferred Provider, or the termination of a Preferred Provider's Contract with Blue Shield may materially and adversely affect the Employer, Blue Shield will, within a reasonable time, advise the Employer in writing of such inability to perform, breach, or termination.
Choice of Providers. The decision is yours to make— choose a VSP network doctor or any out-of-network provider. Great Eyewear. It’s easy to find the perfect frame at a price that fits your budget. Using your VSP benefit is easy. Create an account at xxx.xxx. Once your plan is effective, review your benefit information. Find an eye doctor who’s right for you. Visit xxx.xxx or call 000.000.0000. At your appointment, tell them you have VSP. There’s no ID card necessary. If you’d like a card as a reference, you can print one on xxx.xxx. That’s it! We’ll handle the rest—there are no claim forms to complete when you see a VSP provider. Choice in Eyewear From classic styles to the latest designer frames, you’ll find hundreds of options. Choose from featured frame brands like bebe, XXXXXX XXXXX, Xxxx Haan, Flexon®, Lacoste, Nike, Nine West, and more.1 Visit xxx.xxx to find a Premier Program location that carries these brands. Plus, save up to 40% on popular lens enhancements.2 Prefer to shop online? Check out all of the brands at xxxxxxxx.xxx®, VSP's preferred online eyewear store. Enroll in VSP today. You'll be glad you did. Contact us. 000.000.0000 xxx.xxx Your VSP Vision Benefits Summary RIVER VALLEY LOCAL SCHOOL DISTRICT and VSP provide you with an affordable eyecare plan. P Provider Network: VSP Choice Benefit Description Copay Frequency Your Coverage with a VSP Provider WellVision Exam Focuses on your eyes and overall wellness $10 Every 12 months Prescription Glasses $25 See frame and lenses Frame $130 allowance for a wide selection of frames$150 allowance for featured frame brands20% savings on the amount over your allowance Included in Prescription Glasses Every 24 months Lenses Single vision, lined bifocal, and lined trifocal lenses Polycarbonate lenses for dependent children Included in Prescription Glasses Every 12 months Lens Enhancements Standard progressive lenses Premium progressive lenses Custom progressive lenses Average savings of 20-25% on other lens enhancements $55 $95 - $105 $150 - $175 Every 12 months Contacts (instead of glasses) $130 allowance for contacts; copay does not apply Contact lens exam (fitting and evaluation) Up to $60 Every 12 months Your Coverage with Out-of-Network Providers Get the most out of your benefits and greater savings with a VSP network doctor. Your coverage with out-of-network providers will be less or you’ll receive a lower level of benefits. Visit xxx.xxx for plan details. Exam up to $45Lined Bifocal Lenses up to $50Progressive Lense...
Choice of Providers. Benefits must be obtained from an EAP Provider through Plan. A Member may obtain Benefits by contacting Plan at 0-000-000-0000. Upon contact, Plan will determine the Member's eligibility for Benefits and arrange for Benefits.
Choice of Providers. A Member may select any licensed Dentist or oral surgeon to provide Covered Services hereunder, including such providers outside of California that meet similar requirements. A Directory of Participating Dentists is available to all Subscribers by calling Dental Customer Service at 1-888-702- 4171 or writing to: Blue Shield of California Dental Customer Service 000 Xxxxxx Xxxxxx, 00xx Xxxxx Xxx Xxxxxxxxx, XX 00000
Choice of Providers. 1. The Plan has established a network of Personal Physicians and specialty Physicians, Hospitals, Participating Hospice Agencies, and Non-Physician Health Care Practitioners to provide Covered Services to Members. To receive Tier I Benefits, a Member must obtain or receive approval for all Covered Services from his Personal Physician or the MHSA. Each Member must select a Personal Physician from the list of Personal Physicians in the Directory of HMO Providers. The Directory will be given to Members at the time of enrollment. A Member's Personal Physician will be accessible to the Member on a 24-hour-a-day, 7-day-a-week basis, or will make appropriate arrangements to assure coverage. Emergency Services will be provided on a 24-hour-a-day, 7-day-a-week basis by all Plan Hospitals. The list of Providers in the Directory includes the location and phone numbers of all Personal Physicians, Plan Hospitals and Participating Hospice Agencies in the Personal Physician Service Area. Members should contact Member Services for information on Plan Non-Physician Health Care Practitioners in their Personal Physician Service Area.
Choice of Providers. A HFC clinician or intake specialist will refer Enrollees to Contracted Providers in their community. If the Enrollee uses a Non-Contracted Provider, the Enrollee may choose which Non-Contracted Provider to use and is responsible for arranging for services to be rendered and for any charges incurred. HFC shall not reimburse Enrollees who secure services from licensed Non-Contracted Providers.
