Common use of Limited Access Area Clause in Contracts

Limited Access Area. If the Member resides in an area that does not have adequate access to a Contracting Vision Provider and the Member receives Vision Care from a Non-Contracting Vision Provider, the Vision Care Designee will pay up to 100% of the Allowed Benefit. The Member is responsible for any difference between the amount billed and the Vision Care Designee’s payment. To determine if the Member resides in a limited access area, the Member must call the Vision Care Designee at the telephone number on the Member’s identification card.