Common use of Choice of Providers Clause in Contracts

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 Lenses up to $50Frame up to $70Lined Trifocal Lenses up to $65Contacts up to $105Single Vision Lenses up to $30 VSP guarantees coverage from VSP network providers only. Coverage information is subject to change. In the event of a conflic t between this information and your organization’s contract with VSP, the terms of the contract will prevail. Based on applicable laws, benefits may vary by location. In the state of Washington, VSP Vision Care, Inc., is the legal name of the corporation through which VSP does business.

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 Lenses up to $50Frame up to $70Lined Trifocal Lenses up to $65Contacts up to $105Single Vision Lenses up to $30 VSP guarantees coverage from VSP network providers only. Coverage information is subject to change. In the event of a conflic t between this information and your organization’s contract with VSP, the terms of the contract will prevail. Based on applicable laws, benefits may vary by location. In the th e state of Washington, VSP Vision Care, Inc., is the legal name of the corporation through which VSP does business.