Thank you for visiting our website and participating in our vision plan!
Before contacting our Customer Services personnel, you may want to review this list of commonly asked questions and answers. If you do not find the answer to your question, you may email Superior Vision by using the Contact Us link and our Customer Services Department will e-mail the answer to you within two business days, or call either our Customer Service Deptartment at (800) 507-3800.
Eyecare Providers
- How do I know which services are offered by the different providers?
- What do I do if there are no in-network providers close to me?
- What can I do if my present provider is not on the provider panel?
- Is it necessary that I give Superior Vision the name of the provider that I have selected to receive my vision care services?
- Under what situations do I pay anything directly to the in-network provider?
- Can I get my eye examination at one location and the materials at another?
How to Use Your Benefits
- How often can I use my insured plan benefits?
- Do I need to show my I.D. card to the provider to receive my insured benefits?
- Do my covered dependents need to have I.D. cards?
- Can my covered dependents use my personal identification number to receive insured benefits?
- Do I need to obtain an authorization form or voucher prior to receiving services?
- Do I need to call Superior Vision to tell them that I want to use my vision benefit?
- Do I need to take any forms with me to the provider?
- How do I get my benefit when using an out-of-network provider?
- Does the Superior Vision Plan have a Web Site?
Frame & Lens Benefits
- What does "covered in full" mean in regards to my prescription lens benefit?
- Are progressive power lenses a fully covered benefit?
- Is there a co-pay that applies to my vision benefit?
- What kind of frame can I select for my insured benefit?
- How much do I pay if I select a frame over the frame allowance?
- Does the benefit cover tinted eyeglass lenses?
- If I don't use all of my frame allowance, can I use the difference towards the additional costs of the lenses?
Materials Discounts
- What discounts am I entitled to under the Superior Vision discount feature?
- How often can I use my discounts?
- During what period of time are the discounts valid?
- Do I need to show my I.D. card to the provider to use the discounts?
- Does the discount feature cover non-prescription sunglasses?
- Are there any limitations on the frame selection when using the discounts?
- Can I also apply "discount coupons" to the discount I receive from the discount feature?
- Do the discounts apply to my covered eyeglass lenses?
- Is there a discount on the difference between my frame allowance and the price of the frame I have selected?
- Do all Superior Vision providers offer discounts?
- May I use an instore promotion, coupon, or sale?
How do I know which services are offered by the different providers?
The Superior Vision Provider Directory has a "key" printed under the provider's name and address. From this you can see the services provided at the location.
EX = Routine Eye Examination
GL = Eyeglasses
CL = Contact Lenses
CLF = Contact Lens Exam Fit
DP = Discount Benefit Available
DP8-20 = SVP8-20 Discount Benefit Available
RF = Refractive/LASIK Surgery Discount Available
** = Service Not Available
[Return to Top]
What do I do if there are no in-network providers close to me?
There are two options for your convenience. One, select an out-of-network provider and use your out-of-network benefits. Two, nominate a provider in your area to the Superior Vision Plan Provider Panel (see next question).
[Return to Top]
What can I do if my present provider is not on the provider panel?
A Provider Nomination Form can be found on our website. In addition, the employee
may email us or may make the request through our Customer Service Department at
800-507-3800. You can also Fax this information to 916-852-2380. All
nomination requests are handled by our Provider Relations Department.
[Return to Top]
Is it necessary that I give Superior Vision the name of the provider that I have selected to receive my vision care services?
No, unlike some benefit plans, it is not necessary to pre-select your provider or to give Superior Vision the name of your provider prior to receiving services. You need only to select your provider, make your appointment, and identify yourself to the provider as a Superior Vision Plan member.
[Return to Top]
Under what situations do I pay anything directly to the in-network provider?
You pay the provider directly for the following:
- Your specified co-pay for your exam and your specified co-pay for your materials.
- Any charges over and above your specified contact lens allowance or specified frame allowance.
- Any additional charges for products or services that are not fully covered under your plan. See the Exclusions section on this brochure.
- Any time you take advantage of an in-store sale or promotion.
[Return to Top]
Can I get my eye examination at one location and the materials at another?
Yes, you can, however, each provider will need to make a call to Superior Vision Customer Service to verify your eligibility.
[Return to Top]
How often can I use my insured plan benefits?
Your exam, lens, and frame benefits vary based on your plan type. Please contact your HR Department or refer to your plan documents for more information.
[Return to Top]
Do I need to show my I.D. card to the provider to receive my insured benefits?
The I.D. card is to assist the provider in identifying you and the plan under which you are covered. It is recommended that you show the provider your I.D. card, however, you can receive services without the I.D. card. Simply identify yourself as a Superior Vision Plan member with proper personal identification, personal identification number, and the name of your employer.
[Return to Top]
Do my covered dependents need to have I.D. cards?
No, to use the Superior Vision Plan benefits it is not necessary for dependents to have personal I.D. cards. They can use the member's I.D. card.
[Return to Top]
Can my covered dependents use my personal identification number to receive insured benefits?
Each person receiving benefits should have their own personal identification number to give the provider. However, services can be provided with the plan member's number if the dependents number is not available.
[Return to Top]
Do I need to obtain an authorization form or voucher prior to receiving services?
There are no vouchers or pre-authorization forms to obtain prior to receiving services. See the instructions listed for out-of-network procedures.
[Return to Top]
Do I need to call Superior Vision to tell them that I want to use my vision benefit?
When using an in-network provider, it is not necessary to notify Superior Vision prior to receiving services. See instructions listed for out-of-network procedures.
[Return to Top]
Do I need to take any forms with me to the provider?
There are no forms to give to the provider.
[Return to Top]
How do I get my benefit when using an out-of-network provider?
- First, call Superior Vision Customer Service at 800-507-3800 and get an authorization/eligibility number.
- Second, see your provider and pay for your examination and/or materials. You do not pay the out-of-network provider a co-pay.
- Third, place in an envelope your original itemized billing or receipt, describing all of the services and materials that were provided to you, along with your name and address and the authorization/eligibility number you received from Customer Service. Mail to Superior Vision Services, Inc., P.O. Box 967, Rancho Cordova, CA 95741.
- You will be reimbursed according to the schedule of allowances for out-of-network
services, less any required copays.
[Return to Top]
Does the Superior Vision Plan have a Web Site?
Yes, you will find the Superior Vision Plan Web Site at www.superiorvision.com. Information you will find on the Web Site includes your plan design information, dependent coverage and current provider location listings with mapping access.
[Return to Top]
What does "covered in full" mean in regards to my prescription lens benefit?
The vision plan is designed to cover "basic" lenses and frames. A basic lens
is considered an uncoated plastic or glass lens. Any upgrades or add-on's
to the lens will be the member's responsibility unless specifilcally covered by
their employer's plan. Examples of upgrades and add-on's include: anti-reflective
coat and scratch coat. The member pays the extra charges directly to the provider.
Items requiring additional charges are listed under the Limitations & Exclusions
section of the Outline of Benefits schedule.
[Return to Top]
Are progressive power lenses a fully covered benefit?
Progressive power lenses are covered up to the retail value of the provider's standard trifocal lenses. You pay the provider the difference between the provider's retail price for standard trifocal lenses and the retail price for the style of progressive lenses you have selected. Some plans do include coverage of progressive power
lenses. Please see our Outline of Benefits schedule.
[Return to Top]
Is there a co-pay that applies to my vision benefit?
If there is a co-pay that is applicable to your benefit plan it will be noted in
the Outline of Benefits schedule. All co-payments are paid directly to the in-network provider, or deducted from the out-of-network reimbursement.
[Return to Top]
What kind of frame can I select for my insured benefit?
You can select any frame in the in-network provider's frame inventory up to the
retail allowance shown in your Outline of Benefits schedule without incurring any
additional out-of-network pocket cost.
|[Return to Top]
How much do I pay if I select a frame over the frame allowance?
You pay the difference between your specified in-network allowance and the regular retail price of the frame you have selected.
[Return to Top]
Does the benefit cover tinted eyeglass lenses?
The benefit covers the cost of the basic lenses which includes Rose Tint #1 and #2. For the darker sunglass tint colors, you will need to pay an additional charge over the standard lens.
[Return to Top]
If I don't use all of my frame allowance, can I use the difference towards the additional costs of the lenses?
No, the plan does not provide for this.
[Return to Top]
What discounts am I entitled to under the Superior Vision discount feature?
Your schedule of discounts is printed in the Materials Discount section of your plan brochure.
[Return to Top]
How often can I use my discounts?
There are no limits as to the number of times you can use the discounts. The discounts are limited to your personal use and that of your covered family members.
[Return to Top]
During what period of time are the discounts valid?
You can use the discounts during the contract period of your insured benefit.
[Return to Top]
Do I need to show my I.D. card to the provider to use the discounts?
Yes, to use the discounts you and your dependents must show your I.D. card to the in-network provider to verify your eligibility.
[Return to Top]
Does the discount feature cover non-prescription sunglasses?
Yes, discounts are available for non-prescription sunglasses except when discounts are prohibited by the manufacturer.
[Return to Top]
Are there any limitations on the frame selection when using the discounts?
You can receive a discount on any frame in the providers inventory unless discounts are prohibited by the manufacturer.
[Return to Top]
Can I also apply "discount coupons" to the discount I receive from the discount feature?
No, the discount feature cannot be used with any other discounts.
[Return to Top]
Do the discounts apply to my covered eyeglass lenses?
Yes, there is a 20% discount that applies to the purchase of upgrades to your covered eyeglass lenses. This can include add-on items, such as: Transitions, Polaroid, Polycarbonate, High Index, Coatings, etc.
[Return to Top]
Is there a discount on the difference between my frame allowance and the price of the frame I have selected?
Yes, there is a 20% discount on the difference between the retail price of the frame you have selected and your frame allowance.
[Return to Top]
Do all Superior Vision providers offer discounts?
No, discounts are available only from participating providers who are identified with a DP in their provider listings as a service provided at their location.
[Return to Top]
May I use an instore promotion, coupon, or sale?
Superior Vision Services (SVS) recognizes that some members may wish to take advantage of the in-store sale promotions or coupons offered by some of
our “in-network” providers. Your SVS benefits are not intended for use in conjunction with these types of offers, nor are the providers contractually
obligated to provide discounts in addition to the insured benefit. The provider will allow one discount only:
-the discount to the insurance company (Superior Vision) or
-the discount to you (the sale or coupon).
The choice you make is important. If you choose to utilize the sales promotion or coupon, you will pay for all charges in full and submit the
itemized receipts to Superior Vision. Please be aware that the Superior Vision reimbursement will be based on the “out-of-network” rates outlined in your
policy. The “in-network” status applies only to the provider when you utilize the insurance, not as a “cash” customer; therefore, the “out of network”
rates are applied to your reimbursement. After the reimbursement has been received from a “promotional discount” utilization of your benefit,
the fully insured benefit may not be used again until the next benefit period.
Please contact customer service at 1-800-507-3800 before making your purchase
for more detailed information.
[Return to Top]
 |