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Vision Plan - Superior Vision Services, Inc.

Superior Vision Services Basic and Enhanced plans are fully insured voluntary vision programs. Employees may elect to enroll themselves and any eligible dependents in one of the vision programs, whether or not the employee or dependents are enrolled in State of Kansas medical coverage. However, if dependent vision coverage is selected and dependent children are also enrolled in the medical plan, the dependent children enrolled in vision must match those enrolled in the medical plan. Enrollment even on an after-tax basis cannot be changed during the Plan Year unless due to either a newly eligible dependent or to a dependent becoming ineligible.

Network Providers - How Superior Vision Service Works

To obtain vision care services under the Basic or Enhanced Plans, the member should contact a Superior Vision network provider. Identify yourself to the network provider as a member of the Superior Vision Plan. You can use your ID card for this purpose or simply give the provider your name, indicate you are a member with the State of Kansas and your ID number. The provider will contact Superior Vision to verify your eligibility and plan coverage, and obtain an authorization number. All covered family members can use the ID card provided to you. The network provider handles all claims and paperwork. Superior Vision will pay the network provider for covered services and materials. The patient is responsible for any copayments and any additional costs resulting from cosmetic options, or non-covered services and materials selected.

If the member has medical coverage through the State of Kansas, the medical plan will cover one routine eye exam each year. To coordinate benefits with the medical plan, the Superior Vision provider will also need the name of the medical plan and the member's plan identification number. To maximize benefits, members need to make sure that their chosen provider is a network provider for both the vision and medical plan.

Members have the freedom to purchase lenses, frames, contacts and other services from either a Superior Vision doctor providing the eye exam or any other Superior Vision network provider. For member convenience, the Superior Vision provider network includes optometrists, ophthalmologists and optical chain stores.

Non-Network Providers - How Superior Vision Works

Before a member receives services from a non-network provider, the member should contact Superior Vision Member Services Department at 1-800-507-3800 to receive an authorization number. By doing so you may be assured of your eligibility and reimbursement for eligible costs. After receiving services, the member is responsible for paying the provider in full and submitting itemized receipts along with the authorization report to Superior Vision at the address listed below for reimbursement. You will be reimbursed according to the reimbursement schedule for non-network providers. It is important to note that the reimbursement schedule does not guarantee full payment and Superior Vision cannot guarantee patient satisfaction when services are received from a non-network provider.

Additional Values

Discounts are available for additional eyewear purchases. The discounts range from 10% to 30% and are available at providers identified in the provider directory with a "DP." Providers identified with "RF" in the directory offer a discount of 20% on refractive surgeries (LASIK, RK and PRK).

For additional information regarding Superior Vision as well as information on provider locations you can visit the web site for Superior Vision.

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Customer Service - 800-507-3800
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Superior Vision Service, Inc.
P.O. Box 967
Rancho Cordova, CA 95741

Please feel free to call the Office of Human Resources at Emporia State University, 620-341-5379 or e-mail jander21@emporia.edu

 

Last Updated March 10, 2008