To Our Covered Members:
In order that we might assist you in using your VBA Vision Benefits, we’ve compiled the following most frequently asked questions and answers. It is our hope that this will provide you with a better understanding of how the program works and of what you must do to receive the maximum benefit.
|Question||What is the benefit of using a VBA Participating Provider?|
|Answer||Every VBA Participating Provider location must have either a licensed practicing Doctor of Optometry or Ophthalmology associated with it. Each has agreed to accept VBA’s fee as full payment for their services and adhere to VBA’s comprehensive examination standards. Additionally, all lenses will be fabricated at one of VBA’ Approved Optical Labs, where both the cost and the quality are strictly controlled.|
|Question||Who are the VBA Participating Providers in my area?|
|Answer||VBA represents one of the most comprehensive networks of Optometrists, Ophthalmologists and well known Retail Optical Stores in the nation. An up-to-date list of the providers in your area will be sent to your home, along with a validated benefit form, when you request service from VBA. Or, you may search for a provider while visiting this website.|
|Question||Do I have to request a benefit form before making my eye appointment?|
You should hit the "Request a Benefit Form" button at the top of this page. After entering the Member’s ID Number and Home Zip Code, you will be able to view your plan’s benefit parameters and the claims history for any of your covered family members. You may also submit your request for any needed Benefit Forms and, if eligible, you will receive immediate confirmation that the forms you requested will be mailed to your home by the end of the next business day! You will also receive the most recent list of VBA Participating Providers in your area.
Once you receive these materials, you should select a provider from the list and make an appointment. Remember, YOU MUST PRESENT THE VALIDATED VBA BENEFIT FORM TO THE PARTICIPATING PROVIDER ON YOUR FIRST VISIT. Failure to do so will result in higher charges.
|Question||When is the best time to call VBA’s Customer Service Department?|
|Answer||If you only need to request VBA Benefit Forms for yourself or your dependents you can call any time. After reaching our Customer Service Department at 1-800-432-4966, simply press Option 4. However, if you need to speak with a VBA Customer Service Representative, you may call between the hours of 8:30 am and 7:00 pm EST Monday through Friday. You may experience longer waiting times in the morning hours. Generally, later in the day and later in the week is better.|
|Question||Once I have received my VBA benefit form, how long do I have to make an appointment?|
|Answer||Since your vision benefits through VBA are prepaid, the benefit form you receive is similar to a voucher and must be used within 90 days after you have received it. As long as you have made your appointment within that 90 day period, the VBA Participating Provider will accept it.|
|Question||Will there be any extra charges if I use a VBA Provider?|
|Answer||Your plan will provide a complete vision exam, clear lenses and a quality frame at no out-of-pocket cost to you other than any applicable copayment amounts.
However, should you select optional items that may not be covered, such as tinted lenses, photograys or progressive no-line bifocals, there will be additional charges that you will be responsible for.
Additionally, frames whose acquisition cost exceeds the plan’s wholesale frame allowance will also result in extra charges.
Even though these optional items aren’t covered under the plan, the amounts you will be charged are strictly controlled by VBA and are considered fair and reasonable. Ask the VBA Provider if the items you select would result in any additional charges.
NOTE: MAKE SURE YOU ARE AWARE OF ANY ADDITIONAL CHARGES BEFORE YOU SIGN THE BENEFIT FORM. VBA MONITORS ALL ADDITIONAL CHARGES TO INSURE THAT THEY ARE CORRECT.
|Question||How long will it take to receive my glasses?|
|Answer||Generally, your glasses will be back from the VBA Laboratory within two weeks (VBA allows 10 working days). If, however, the frame you selected is out of stock from the manufacturer, or if you have requested an anti-reflective coating or progressive bifocals, it may take slightly longer.|
|Question||What guarantee do I have that my glasses will be made right?|
|Answer||VBA guarantees every pair of glasses 100%. If your prescription is not totally accurate, or if the VBA Lab did not produce the lenses in exact accordance with your prescription, VBA will make it right at no additional cost to you.|
|Question||If my glasses are broken or lost, can they be replaced?|
|Answer||No. Unless you are eligible for the benefit at that time, there are no provisions for lost or broken glasses. Some providers may offer this protection at an additional cost to you if you ask.|
|Question||What should I do if I wish to get contacts instead of glasses?|
|Answer||You should proceed in the same manner as if you were going to get glasses.
We would advise, however, that you shop around for both a provider and a price that you are comfortable with, since the cost of contacts is not controlled by VBA.
You will simply be reimbursed up to your plan’s maximum allowance toward the total retail cost of the contact lenses and/or contact lens exam.
If you use disposable contacts and purchase replacement contacts every few months, it is best to accumulate paid receipts up to your maximum allowance and then submit one claim form in order to receive the full benefit.
|Question||What if I wish to use a provider that does not participate with VBA?|
|Answer||Under the plan, you may use any provider you wish.
You should still request a validated VBA benefit form to determine your eligibility and to assure a prompt reimbursement.
Then, after you have received your exam and/or materials, simply attach your itemized receipts (exam cost, frame cost and the type and cost of lenses) to your VBA benefit form and return it to VBA.
Reimbursements are made biweekly and are in the amounts printed in your VBA Benefits Brochure.
If you wish to use a non-participating doctor for your exam, you may still use a VBA Participating Provider to obtain your glasses. VBA Providers who will dispense glasses from another doctor’s prescription are indicated with an asterisk in the in the VBA Providers’ List. You must take both the benefit form and the prescription to the VBA Provider. The receipt for your non-participating doctor exam should be returned to VBA, along with a note including the name of your employer and your social security number. You will be reimbursed directly for your exam according to the schedule printed in your benefits pamphlet.
NOTE: If any problems arise with your glasses or contacts due to an inaccurate prescription written by a Non-Participating Doctor, neither VBA nor the Participating Provider assume any responsibility.
|Question||Does my benefit include any accommodation for laser vision correction?|
|Answer||YES. VBA has partnered with TLC Laser Eye Centers, the nation’s largest and most experienced providers of LASIK and PRK procedures! VBA covered members are entitled to a preferred discount off of prevailing fees. To learn more about this exciting new benefit, you may contact TLC Laser Eye Centers at www.tlcvision.com.|
IF YOU HAVE ANY FURTHER QUESTIONS ON THESE OR ANY OTHER ASPECTS OF YOUR VISION BENEFIT, WE ASK THAT YOU CONTACT THE BENEFITS OFFICE OR CALL VBA DIRECTLY AT 1-800-432-4966. THANK YOU!
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January 1 & 2