As of September 19, 2024
VSP Premier Edge™
VSP Premier Edge™ ("Premier Edge") is offered to all VSP® Network Practices, subject to the eligibility requirements outlined below, to assist in maximizing vision care benefits for VSP members, while providing a competitive advantage centered around business-building benefits.
The following terms and conditions apply to all VSP Network Practices taking advantage of Premier Edge. Additional Premier Edge terms and conditions may apply. VSP Vision reserves the right to change the terms and conditions of or discontinue Premier Edge at any time without notice.
ELIGIBILITY
Premier Edge is available to Independent Eye Care Providers with active VSP Network Practices that have not opted out of providing value-added discounts to VSP members on non-covered services and materials1, have not indicated that VSP savings and discounts are not guaranteed at their Practice, (unless prohibited by applicable state law), are located in the United States, and are in good standing. In addition, Eye Care Providers located in Texas and who opt in to a VSP Network Doctor Agreement on or after January 1, 2024, or who initially join VSP's Doctor Network on or after January 1, 2024 are not eligible to participate in Premier Edge.
Any VSP Network Provider that is subject to any form of restrictive status participation would not be in good standing and therefore, does not qualify for this program.2 Only VSP Network Providers and Practices that are not excluded, debarred, suspended, nor owned or controlled, in whole or in part, by a person that is excluded, debarred, or suspended, from participation in (a) any Federal health care program as defined by 42 U.S.C. §1320a-7b(f), including, but to limited to, Medicare, Medicaid, and TRICARE, or (b) any State health care program, as defined in 42 U.S.C. § 1320a-7(h) are eligible for Premier Edge.
1. Unless prohibited by state law 2. Restrictive status participation includes, but is not limited to: (i) provisional participation on the VSP Doctor Network through a retail provider, group, or affiliate arrangement; (ii)conditional participation on the VSP Doctor Network, (iii) participation subject to a litigation Settlement Agreement or a Consent Decree and Agreement, and/or (iv) participation subject to any existing or pending adverse action regarding VSP Doctor Network participation (e.g., termination notice and/or a restitution demand and/or a payment workout program).
FEDERAL, STATE, AND HEALTHCARE PROGRAM EXCLUSIONS
Federal anti-kickback laws provide for criminal and/or civil liability for inducements related to any product for which payment may be made by a Federal healthcare program or federally funded State healthcare programs, including Medicaid and Medicare (collectively, “Federally Funded Programs”). Some states have similar anti-kickback laws and regulations (“State Laws”). Any item or service for which payment is made, in whole or in part, directly or indirectly, by any Federal health care program or State health care program, or otherwise prohibited by Federal or State laws or regulations, does not qualify for any promotion offered by VSP Premier Edge.
GENERAL QUALIFICATIONS
Premier Edge is comprised of three benefit levels (Platinum, Gold, and Silver) in which valuable discounts and services grow with increased spending target levels. At the end of each calendar month, an assessment is run to determine the spend over the last twelve months. If a practice reaches a higher spending target level than they currently are, they can move up a level at any calendar month until the next annual check-in. At the annual check-in, each Practice is reviewed against the level qualifications and could move to a higher or lower Premier Edge level. Annual check-in date is December 31.
GENERAL QUALIFYING PURCHASES
Spending targets vary by benefit level but generally include:
Marchon/Altair Frames purchasing amounts necessary to qualify for any Premier Edge level, which are calculated on net per location spend over the last twelve months (LTM). As announced on September 19, 2024, the annual assessment on December 31, 2024, that determines Premier Edge level, will be based on this criteria.
I. SILVER LEVEL
A. Qualifications
The Silver Level of benefits is available to all VSP Network Practices with a single location spend of $6,000 LTM on Marchon/Altair Frames.
If there are multiple Practice locations, after one Practice location has spent $6,000 LTM on Marchon/Altair Frames, each subsequent Practice location only needs to spend $3,000 LTM per additional location on Marchon/Altair Frames.
B. Benefits Practices with Silver Level status will receive the following Premier Edge benefits:
The Featured Frame Brands indicator will be automatically added to the Practice’s Find-a-Doctor listing on VSP.com. To qualify for the Featured Frame Brands designation, each Practice location must either have purchased at least $6,000 net of Marchon and/or Altair Frames over the last 12 months (LTM) or had at least 60 VSP patients select Marchon and/or Altair Frames over the last 12 months (LTM).
The Practice Report provides a comprehensive, personalized financial summary of the Practice based on VSP claims data. The financial data should be used as guidance in Practice decisions and not for tax purposes.
VSP Premier Edge™ Training and Education eLearning courses, webinars, workshops, and resources through premieredgetraining.com provide valuable education and training for doctors and staff on significant topics, aimed at helping increase revenue, maximizing patient traffic, developing efficiencies, and supporting sub-specialties and differentiation.
VSP Premier Edge™ Marketing Support offers Practices seasonal marketing campaigns, promotions, and marketing resources. For additional information, please visit premieredgemarketing.com.
The VSPOne Rewards Program gives eye care providers opportunities to receive and redeem points on proprietary brand product orders placed with any of the VSPOne Optical Technology Centers. Practices must opt-in to participate. The VSPOne Rewards Program will end on 12/31/24; Ffor complete program details, official rules, and terms and conditions please visit VSPOneRewards.com. Note: as announced on August 15, 2024, VSP is winding down operations at VSPOne Technology Centers in Folsom, CA, Tampa, FL and Dallas, TX and is transitioning to a Unity Distributor Lab Network.
Premier Edge Practices are eligible to receive up to $1,500 off onboarding fees for up to three doctors on any new combined subscription or purchase of Eyefinity Practice Management and/or Eyefinity EHR. Additional terms apply. See full disclosure. To learn more, start by filling out this form.
II. GOLD LEVEL
The Gold Level of benefits is open to all VSP Network Practices with a single location spend of $12,000 LTM on Marchon/Altair Frames. If there are multiple Practice locations, after one Practice location has spent $12,000 LTM on Marchon/Altair Frames, each subsequent Practice location only needs to spend $6,000 LTM per additional location on Marcon/Altair Frames to maintain Gold Level status. In addition to purchasing thresholds, Practices must also honor the following consumer conveniences at all locations:
3. Unless prohibited by state law
B. Benefits
In addition to the benefits outlined under the Silver Level, Gold Level Practices receive the following:
Qualifying Gold Level VSP Network Practices receive an additional $10 per frame when a VSP member with the Enhanced Featured Frame Plan selects a Marchon or Altair frame from their Practice. The additional $10 on any Marchon or Altair frame is only available for VSP Signature Plan and VSP Choice Plan participants. This additional benefit to the Practice will be noted on the Explanation of Payment (“EOP”) as Additional Frame Payment.
VSP Network Practices benefit from access to dedicated VSP recruiters to help them find qualified Optometrists. VSP does not guarantee the placement of any practice professionals. All interviewing and hiring of Practice professionals are the sole responsibility of the Practice. VSP Network Practices also benefit from access to other hiring related resources, including free job listings on the VSP Vision Optometry Careers Site, which is linked to over 300 career sites. Note: Usage of VSP Premier Edge™ Career Support services may require a separate agreement specific to the program. Practices opting to utilize these services will be provided with details relating to the program by the VSP recruiter. To request assistance, visit premieredgecareers.com on the Provider Hub.
VSP Network Practices with Gold Level status will receive an exclusive 30% discount on all JOE optical orders from Altair.
Enhanced customer service includes a dedicated Eyefinity® support email address. Email EyefinityPremierSupport@Eyefinity.com to learn more.
VSP Network Practices earn payments for advertising VSP Individual Vision Plans on their Practice website. When a patient clicks on a banner ad or link that redirects to the VSP Direct page, the Practice will receive an $8 advertising payment. Purchase of an Individual Vision Plan from VSP is not required to participate. To take part in this offer, sign-up at vspproviderhub.com/ip.
Practice Link on VSP Find-a-Doctor Practices can link their website to their directory listing on VSP.com, subject to VSP terms and conditions. As used herein, “Service” refers to the products, information, and services provided through VSP. The Practice URL (Universal Resource Locators) cannot be used in any manner that may disable, overburden, damage, or impair the Service, or interfere with any other party’s use and enjoyment of the Service by:
a. Uploading or otherwise disseminating any virus, adware, spyware, worms, or other malicious codes; or b. Interfering with or disrupting any network, equipment, or server connected to or used to provide any of the Service, or violating any regulation, policy, or procedure of any network, equipment, or server. By linking the Practice URL on the VSP Find-a-Doctor webpage, the Practice represents, warrants, and agrees that no content posted or otherwise shared by the Practice or through any of the Service violates or infringes upon the rights of any third party, including copyright, trademark, privacy, publicity, or other personal or proprietary rights, breaches, or conflicts with any obligation, such as a confidentiality obligation, or contains libelous, defamatory, or otherwise unlawful material. The Practice shall not post or transmit content on or through the Service that is harmful, offensive, obscene, abusive, invasive of privacy, defamatory, hateful, or otherwise discriminatory, false, or misleading, or incites an illegal act. If the Practice promotes or advertises products competitive to any VSP product or Service on their website, the Practice agrees to equally promote VSP and its products and Services to enable VSP members to gain full value of their VSP benefits. VSP has the sole and absolute right and discretion to remove any Practice website without notice. To link or manage your Practice URL, go to eyefinity.com and select Practice/Doctor Updates under Administration.
The Premier Edge Promise is not an insurance plan. Availability and eligibility of Featured Frame Brands is subject to change. Members may add any additional non-covered lens enhancements at Choice Lens Enhancement pricing. VSP reserves the right to change or cancel the Premier Edge Promise at any time without notice.
4. $40 process fee is paid by the patient to the Premier Edge practice and will be deducted from the provider’s claim payment. Additionally, patient must pay any additional non-covered lens enhancements at Choice Lens Enhancement pricing and/or frame overage, as applicable.
Qualified Practices receive call prioritization when using the VSP Vision Care Call Center (1.800.615.1883), VSP Optics Call Center (1.800.952.5518), Marchon Call Center (1.800.645.1300), and Altair Call Center (1.800.505.5557). A practice’s phone number on record is used to determine prioritization.
VSP reserves the right to change or cancel partnerships and promotions without notice. Additional terms and conditions may apply.
III. PLATINUM LEVEL
The Platinum Level of benefits is open to all VSP Network Practices with a single location spend of $30,000 LTM on Marchon/Altair Frames.
If there are multiple Practice locations, after one Practice location has spent $30,000 LTM, each subsequent Practice location only needs to spend $15,000 LTM per additional location on Marchon/Altair Frames to maintain Platinum Level status.
In addition to spending thresholds, Practices must also honor the following consumer conveniences at all locations:
5. Unless prohibited by state law
Platinum Level Practices receive program benefits from the Silver and Gold Levels in addition to the following:
Qualifying Practices receive an additional $15 per frame when a VSP member selects any Marchon and/or Altair manufactured frame. If the member has an Enhanced Featured Frame Plan, the frame benefit to the Practice will be $25 on all Marchon and/or Altair frames. The additional $15 or $25 on Marchon or Altair frames is available on VSP Signature Plan and VSP Choice Plan claims (Medicare and Charity Care are not eligible). This will be listed on the Explanation of Payment (“EOP”) as Additional Frame Payment at the patient level.
The VSPOne Rewards Program gives eye care providers opportunities to receive and redeem points on proprietary brand product orders placed with any of the VSPOne Optical Technology Centers. Each point has an approximate $1 value toward redemption of items in our VSPOne Rewards Program online shopping catalog. (Note: points have no cash value). Platinum accounts earn more. Practices must opt-in to participate. The VSPOne Rewards Program will end on 12/31/24; for complete program details, official rules, and terms and conditions please visit VSPOneRewards.com.Note: as announced on August 15, 2024, VSP is winding down operations at VSPOne Technology Centers in Folsom, CA, Tampa, FL and Dallas, TX and is transitioning to a Unity Distributor Lab Network.
Premier Edge Extra Lens Savings apply to the VSP Signature, Choice, and Advantage Lab network‐based products, including: VSP Signature Plan®, VSP Choice Plan®, VSP Advantage Plan®, VSP Essentials Plan, Vision Savings Pass, Choice Elements, Advantage Elements, Signature Elements, 2nd pair with primary benefit of Signature and Choice. Extra Lens Savings is not available on Stock or Uncut lenses. Eligible products and lens enhancements include6: * VSP Optics – qualified Unity® and Ethos®, TechShield®, and SunSync® * Carl Zeiss Vision – qualified ZEISS SmartLife, DriveSafe, and DuraVision * Hoya Vision Care – qualified Hoyalux Array®, iD LifeStyle 3, Hoyalux iD MyStyle® 2, Super HiVision EX3+, Recharge EX3, Super HiVision, and Sensity
Click here to view reference sheet with complete listing of eligible products and savings amounts.
6. Subject to change * Federal, State, and Healthcare Program Exclusions: Any item or service for which payment may be made, in whole or in part, directly or indirectly, by any Federal or State healthcare program shall not qualify and is not eligible for inclusion and/or participation in Premier Edge Extra Lens Savings The total Premier Edge Extra Lens Savings for the claims will show up as Unity Savings, HOYA Savings, and ZEISS Savings line items on the Explanation of Payment (“EOP”). Note: as announced on September 19, 2024, Extra Lens Savings will end at the end of 2024, and, effective January 1, 2025, the New Unity Rewards program will be open to all independent VSP Network providers, regardless of Premier Edge level.
Qualifying Practices benefit from complimentary, personalized Marketing Consultations with a marketing expert. This includes an assessment of the practice’s online presence, website, and social media, and access to marketing tools and resources. Interested Practices should contact premieredgemarketing.com to request a consultation.
The Kering Eyewear promotion is available to Practices participating in Premier Edge at the Platinum level and is subject to change without notice. Additional terms and conditions may apply.
The Tura promotion is available to Practices participating in Premier Edge at the Platinum level and is subject to change without notice. Additional terms and conditions may apply. Growth Rebate: July 1 – December 31, 2024: Tura will credit $10 per frame for each VSP claim for Tura frames above the practices VSP claims for Tura frames for the same period last year