What if I want to see a doctor who is not in the VSP network?

If an individual wishes to see a doctor who is not part of the VSP network, they should be aware that their benefits may be limited. VSP primarily works with an extensive network of eye care providers, and using one of these in-network providers typically ensures that members receive the maximum benefits from their vision plans. When opting to visit an out-of-network provider, the individual may still be eligible for some level of reimbursement; however, it is essential to remember that this reimbursement is generally lower than what would be available through in-network care. Before making an appointment with an out-of-network doctor, it would be wise for the individual to review their specific vision plan details to understand the potential costs involved. This includes determining what out-of-network benefits are available, along with any deductibles or copayments that may apply. Moreover, it is a good idea to confirm the out-of-network provider’s eligibility to bill VSP, as this can impact the reimbursement process. The individual will likely need to pay for the services upfront and then submit a claim to VSP for reimbursement. For the most accurate and up-to-date information regarding the specifics of their plan and benefits, the individual can visit the current VSP website. This resource provides comprehensive information about how out-of-network visits are handled and what steps to take if an out-of-network provider is chosen for care.