June 2023 Ophthalmic Formulary Updates

Effective June 27, 2023, VSP is making changes to its ophthalmic product formulary to simplify, provide more choice, and reflect brand and technology differentiation.

June 2023 Ophthalmic Formulary Updates

Effective June 27, 2023, VSP is making changes to its ophthalmic product formulary to simplify, provide more choice, and reflect brand and technology differentiation.

The changes include:

  • New Lens Enhancement Codes
    • A new Blue Light Filtering Lens Enhancement Code to be used for lenses with blue light filtering technology embedded directly into the lens.
      • Lens enhancement code is not for use with Blue Light Filtering Anti-reflective Coatings
    • New High Index 1.70 and Above Lens Enhancement Codes to accommodate lenses that have been released over the past few years. The lens enhancement chart will be updated to include:
      • Near Variable Focus High Index 1.70 and Above
      • Polarized High Index 1.70 and Above
      • Multifocal Aspheric/Spherical High Index 1.70 and Above
        • Add Multifocal fee to existing High Index lens enhancement code (AJ)
  • Polycarbonate Lenses: Adult members will have a single copay that applies to single vision (SV) or multi-focal (MF) polycarbonate lenses.
    • Polycarbonate for kids is not impacted.
  • Anti-reflective Coatings: VSP is moving from four anti-reflective (AR) coating categories to three categories. The mid-tier AR category B will be merged into category C, creating a single mid-tier category to reduce redundancies and align technology.

VSP® regularly reviews its ophthalmic product formulary to ensure it evolves to remain relevant and competitive and reflects industry standards, while allowing VSP members to maximize their benefits at a network practice, like yours.  
 
You can find information about the specific changes in the Product Index and the Lens Enhancement Charts located in the Provider Reference Manual on VSPOnline at eyefinity.com.
 
LEGAL NOTICE: Response Required. You have the option to either accept or reject the proposed material changes noted in this letter. 

To accept the changes, please provide your electronic signature within thirty (30) days by completing this form. 

If you object to the changes, do not complete this form. You must submit all such objections in writing within thirty (30) days after your receipt of this notice. Objections can be directed to: 
 
Carey Morris 
Provider Network Development Manager 
VSP  
3333 Quality Drive, Mailstop 144 
Rancho Cordova, CA 95670 
800.742.6907 
providernetworkdevelopment@vsp.com  
 
If you have questions or would like to discuss the changes, please contact your VSP representative or email us at providernetworkdevelopment@vsp.com. 

Only Providers in Arkansas, Oregon, West Virginia, and Kansas need to accept the 2023 Formulary changes by signing this form. 

Doctor Type

Acceptance of the 2023 Ophthalmic Formulary Changes

By typing your name in this box, you are acknowledging you accept the proposed material changes in the letter and charts you received from VSP (and included above).

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