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Virginia Private CollegesBenefits ConsortiumUniView Vision Getting to know UniView Vision Hampden-Sydney College1
UniView Vision Summary How to Contact UniCare UniView Vision UniView Vision Benefit Summary UniView FAQ Employee Vision ID Card How to Find a Provider Provider Directory within 50 mile radius ofSchool2
UniView Vision How to Contact UniCare UniView VisionCustomer Service: (888) 884-8428Hours: Monday – Saturday, 7:30am-11pm ESTSundays, 11am-8pm ESTWebsite: www.unicare.com3
Group Name: Virginia Private Colleges BenefitsConsortium Effective Date: January 1, 2016UniView VisionSMWELCOME TOUNIVIEWVISION!Good news—your vision planis flexible and easy to use.This benefit summaryoutlines the basiccomponents of your plan,including quick answersabout what’s covered, yourdiscounts, and much more!Your UniView Vision networkUniCare Life and Health Insurance Company v ision members have access to one of the nation’slargest v ision netw orks. UniView Vision is the only v ision plan that giv es members the ability to usetheir in-netw ork benefits at 1-800 CONTACTS, or choose a priv ate practice ey e doctor, or go instore to LensCrafters , Sears OpticalSM, Target Optical , JCPenney Optical and most PearleVision locations.Out-of-network: If y ou choose to, y ou may receiv e covered benefits outside of the UniViewVision netw ork. Just pay in full at the time of serv ice, obtain an itemized receipt, and file a claimfor reimbursement of y our out-of-netw ork allow ance. In-netw ork benefits and discounts w ill notapply .YOUR UNIVIEW VISION PLAN AT-AGLANCEPROPOSED UNIVIEW VISION PLAN DESIGNIN-NETWORKRoutine eye exam once every calendar year 15 copay, then covered in fullEyeglass framesOnce every two calendar years members may select an eyeglass frameand receive an allowance toward the purchase priceEyeglass lenses (Standard)Once every calendar year members may receive any one of the followinglens options: 130 allowance, then 20% offany remaining balance 15 copay, then covered in full 15 copay, then covered in full 15 copay, then covered in fullStandard plastic single vision lenses (1 pair)Standard plastic bifocal lenses(1 pair) Standard plastic trifocal lenses(1 pair)Eyeglass lens enhancementsWhen obtainin g covered eyewear from a UniView Vision provider,members may choose to add any of the following lensenhancements at no extra cost.OUT-OF-NETWORK 50 allowance 100 allowance 50 allowance 80 allowance 110 allowance 0 after eyeglass lens copay 0 after eyeglass lens copay 0 after eyeglass lens copayNo allowance on lensenhancements whenobtained out-ofnetworkLenses (for a child under age 19)Standard Polycarbonate (for a child under age 19)Factory Scratch CoatingContact lensesonce every calendar yearIn addition to eyeglass lensesContact lens fit and follow-upAvailable once acomprehensive eye exam hasbeen completed. 130 allowance, then 15% offany remaining balance 130 allowanceElective Disposable Lenses; or 130 allowance(no additional discount) 130 allowance Non-Elective Contact LensesCovered in full 210 allowance Standard contact lens fitting 0 35 Premium contact lens fitting10% off retail price,then apply 55allowance 35 Elective Conventional Lenses; or *Contact lens allowance can only be applied toward the first purchase of contacts made duringa benefit period. Any unused amount remaining cannot be used for subsequent purchases madeduring the same benefit period, nor can any unused amount be carried over to the following benefit period.EXCLUSIONS & LIMITATIONS (not a complete list)Combined Offers. Not combined with any offer, coupon, or instore advertisement.Excess Amounts. Amounts in excess of covered vision expense.Sunglasses. Sunglasses and accompanying frames.Safety Glasses. Safety glasses and accompanying frames.Not Specifically Listed. Services not specifically listed in this planas covered services.Lost or Broken Lenses or Frames. Any lost or broken lenses or framesare not eligible for replacement unless the insured person has reached hisor her normal service interval as indicated in the plan design.Non-Prescription Lenses. Any non-prescription lenses, eyeglasses orcontacts. Plano lenses or lenses that have no refractive power.Orthoptics. Orthoptics or vision training and any associatedsupplemental testing.
OPTIONAL SAVINGS AVAILABLE FROM IN-NETWORKPROVIDERSRetinal Imaging At member’s option can be performed at time of eye examEyeglass lens upgrades lenses (Adults)When obta inin g eyewear from a UniView Vision Standard Polycarbonate (Adults)provider, members may choose to upgrade Tint (Solid and Gradient)their new eyeglass lenses at a discounted cost. UV CoatingEyeglassle nscopayment Progressive Lensesapplies. Standard Premium Tier 1 Premium Tier 2 Premium Tier 3 Anti-Reflective Coating Standard Premium Tier 1 Premium Tier 2Other Add-ons and Services Additional Pairs of EyeglassesAnytime from any UniView Vision network providerEyewear Accessories Complete PairEyeglass materials purchased separatelyItems such as non-prescription sunglasses, lens cleaningsupplies, contact lens solutions, eyegla ss cases, etc.Conventional Contact Lenses Discount applies to materialsonlyADDITIONAL SAVINGS AVAILBLE THROUGH OUR SPECIAL OFFERS PROGRAMIn-network Member Cost(after any applicablecopay)Not more than 39 75 40 15 15 65 85 95 110 45 57 6820% off retail price40% off retailprice 20% offretail offprice20%retail price15% off retail priceMembers can take advantage of savings opportunities from dozens of vendors on a variety of products and services, including LASIK vision surgery,hearing services and aid s, wellness products, weight loss programs, fitness memberships, elder care services,*and much more.1Please askyour provider for his/her recommendation as well as the progressive brands by tier.your provider for his/her recommendation as well as the coating brands by tier.3A standard contact lens fitting includes spherical clear contact lenses for conventional wear and planned replacement. Examples include but are not limited to disposable andfrequent replacement.4A premium contact lens fitting includes all lens designs, materials and specialty fittings other than standard contact lenses. Examples include but are not limited to toric andmultifocal.2 Please askOUT-OF-NETWORKIf you choose an out-of-network provider, please complete an out-of-network claim form and submit it along with your itemized receipt to the fax number,email address, or mailing address below. When visiting an out-of-network provider, discounts do not apply and you are responsible for payment ofservices and/or eyewear materials at the time of service.To Fax: 866-293-7373To Email: [email protected] Mail: UniView VisionAttn: OON ClaimsP.O. Box 8504Mason, OH 45040-7111UniView Vision is for routine eye care only. If you need medical treatment for your eyes, visit a participating eye care physician fromyour medical network. If you have questions about your benefits or need help finding a provider, visit unicare.com or call us at 1-888884-8428.This is a primary vision care benefit intended to cover only routine eye examinations and corrective eyewear. Benefits are payable only for expenses incurred while the groupand insured person’s coverage is in force.This information is intended to be a brief outline of coverage. All terms and conditions of coverage, including benefits and exclusions, are contained in the member’s policy,which shall control in the event of a conflict with this overview. Discounts referenced are not covered benefits under this vision plan and therefore are not included in themember’s policy. Frame discounts may not apply to some frames where the manufacturer has imposed a no discount policy on sales at retail and independent providerlocations. Discounts are subject to change without notice. Laws in some states may prohibit network providers from discounting products and services that are not coveredbenefits under the plan. This benefit overview is only one piece of your entire enrollment package.Transitions and the swirl are registered trademarks of Transitions Optical, Inc. Photochromic performance is influenced by temperature, UV exposure and lens material.Coverage is provided by one of the following companies: UniCare Life & Health Insurance Company, UniCare Health Insurance Company of the Midwest (IN & IL only), or UniCare Health Insurance Company of Texas (TX only). Registered mark of Unicare, Inc.7/12
UniView VisionSMAnswers to SomeFrequently Asked QuestionsLog in atunicare.com to:Find an eye care providerPrint a list of eye careproviders in your areaView your benefitinformationSee when you’re eligiblefor more benefitsView claim statusWhat is covered in a comprehensive eye exam?Some of the tests and procedures performed in a comprehensive eye exam include: Case historyEvaluation of visual system’s status (including dilation)Refractive statusBinocular functionAssessment, diagnosis and treatment planAre contact lens fitting fees included in the vision exam?Professional contact lens fitting fees are not considered a part of routine eye care andare not included in the vision exam. Plan coverage and discounts vary so membersshould refer to their specific plan design for details. Members can view their specificvision coverage by signing into the secure member portal and selecting View Vision,Vision Benefit Details and then My Benefits.What is the difference between standard and premium contact lens fit andfollow-up?Your eye doctor will determine what type of contact lens is best for you. In general, contact lens evaluation fees are based on thetype of contact lens the doctor prescribes.Standard contact lenses are considered to be single vision, clear, soft, and for daily wear. If you are prescribed standardcontact lenses, your eye doctor will perform a standard fitting with follow up evaluation.If the contact lens your eye doctor prescribes for you does not fall into the category of a standard contact lens, it isconsidered to be a premium contact lens. Premium contact lenses are basically more complex types of lenses andinclude but are not limited to toric (to correct astigmatism), multifocal/monovision (bifocal), post-surgical (forexample, following cataract surgery), gas permeable (hard), and those used for extended/overnight wear. If you areprescribed premium contact lenses, your eye doctor will perform a premium fitting with follow up evaluation.When would an eye care provider charge for contact lens fit and follow-up?You will likely pay for a contact lens fitting and follow-up evaluation if any of the following apply:If you are going to be wearing contact lenses for the first timeIf you are renewing your contact lens prescriptionIf you have a change in your contact lens prescriptionIf you are going to change to a different type or brand of contact lensesIf you are a contact lens wearer and are seeing a new eye doctor for the first timeWhat is the difference between elective and non-elective contact lenses?Doctors prescribe Elective contact lenses when there is no natural condition that prevents good vision with glasses. Typically, inthis case, patients have a choice of wearing glasses or contacts, and contacts are considered cosmetic because they are mainlyused for cosmetic purposes.Doctors prescribe Non-elective contact lenses for purposes of correcting a specific natural condition that prevents satisfactoryvision with eyeglasses. They are considered non-elective because they allow the wearer to see better with contacts than withglasses.
UniView VisionSMWhat is the difference between conventional and disposable contacts?Conventional contact lenses are worn for one day during waking hours (daily wear) and then removed, cleaned, storedovernight, and reused the next day. In some cases, specially approved lenses can be worn to sleep but must be removedaccording to the doctor’s instructions.Disposable contact lenses are made for either daily (one time) use or longer term (extended wear). If the patient wears oneday lenses, they can be thrown away, rather than having to clean, store and then reuse the same lenses. They are then replacedwith fresh new lenses.Are disposable contact lenses covered?Disposable or daily wear contact lenses are covered under plans that include benefits for eyewear materials.Can I purchase contact lenses and glasses?Yes. Under your UniView Vision benefits, you have coverage for both eyeglass lenses andcontact lenses at any UniView Vision in network provider. Members also can save 15%- 40% offretail on additional purchases of eyewear through UniView Vision providers.Does UniView Vision cover non-prescription items likesunglasses?Remember UniView Visionparticipatingproviders offermoney savingdiscounts!CUSTOMERSERVICEPhone:(888) 884-8428Hours:Monday – Saturday7:30 a.m. to11:00 p.m. ESTSunday 11:00 a.m. to8:00 p.m. ESTAvailable every dayexcept Easter,Thanksgiving andChristmasNon-prescription items are not covered benefits under our vision plans, however our AdditionalSavings Program lets members access substantial savings (15%-40%) on additional pairs ofeyewear purchases, most non-prescription sunglasses, lens treatments, specialized lenses andeyewear accessories through UniView Vision network providers.Does UniView Vision cover Lasik surgery?Lasik surgery is not a covered benefit, however discount offers on Lasik surgery areavailable from participating providers through UniCare’s SpecialOffers program. Otherdiscounts on a variety of products and services are also available through SpecialOffers,including savings from 1-800 Contacts and Glasses.com.Do I have to use UniView Vision providers?By utilizing the national UniView Vision network, your benefits will stretch further because ofnegotiated fees with more than 33,000 doctors and over 26,000 provider locations. In-networkproviders extend discounts on many non-covered items. If for any reason you still prefer to go toan out-of-network provider, you can use your out-of-network benefits to get reimbursed up to themaximum out-of-network benefit covered by your plan.Will I need to file a claim?If you use a UniView Vision network provider, you do not need to file a claim. The provider will filethe claim on your behalf. If you use an out-of-network provider, you will need to pay the providerat the time of service, obtain an itemized receipt for your expenses, and then submit a claim toUniView Vision for reimbursement of eligible services and/or materials. To obtain a UniView Visionout-of-network claim form, visit our webiste or contact customer service.Have other questions?Give us a call! We’re here to help 7 days a week.Discounts referenced are not covered benefits under the plan and are subject to change without notice. Laws in some states may prohibit network providers from discountingproducts and services that are not covered benefits under the plan.A Coverage is provided by one of the following companies: UniCare Life & Health Insurance Company, UniCare Health Insurance Company of the Midwest (IN & IL only), orUniCare Health Insurance Company of Texas (TX only). Registered mark of UniCare Inc.12/14
UniView Vision UniCare UniView Vision Sample ID Card8
UniView VisionProvider FinderHow to find a provider1.2.3.4.Visit unicare.comClick on: FIND A DOCTORSelect A Plan: UniViewEnter search criteria: yourlocation5. View resultsCoverage is provided by one of the following companies: UniCare Life & Health Insurance Company, UniCare Health Insurance Company of the Midwest (IN & IL only), UniCare HealthPlans of the Midwest, Inc. (HMO in IN & IL only).
UniView Vision Hampden-Sydney CollegeProvider DirectoryWithin 50 mile radius10
UniView Vision3See Important Notice About Participating Providers BelowUniView Vision(Information updated on 08/28/2015Vision ProvidersAnderson, Cathy Q OD18024 Forest Rd Ste 3Forest, VA 24551(434) 385-58702413 Wards RdLynchburg, VA 24502(434) 239-5323Artrip, Sarah B OD8120 Timberlake RdLynchburg, VA 24502(434) 237-2100Autry, Justin A OD611 Watkins Centre PkwySte 100Midlothian, VA 23114(804) 287-4200Blackstock, Joe R OD8120 Timberlake RdLynchburg, VA 24502(434) 237-2100Bock, Juliana OD13400 Tredegar LakePkwyMidlothian, VA 23112(804) 739-3221Chopra, Paul OD106 Tradewynd Dr Ste ALynchburg, VA 24502(434) 426-0216Colling, Amber J OD2108 Langhorne RdLynchburg, VA 24501(434) 845-2020Colling, Landon J MD1503 Enterprise DrLynchburg, VA 24502(434) 832-0700Ayers, Robin M OD197 Madison Heights SqSte 103Madison Heights, VA24572(434) 846-82881825 Graves Mill RdForest, VA 24551(434) 385-5600Bailey, Scott E OD5919 Harbour Park DrMidlothian, VA 23112(804) 739-8646204 Ambriar PlzAmherst, VA 24521(434) 946-2020Bare, Curtis V OD207 Rush StBrookneal, VA 24528(434) 376-3937Blackburn, James EOPT5525 Fort AveLynchburg, VA 24502(434) 239-3673191 Old Courthouse RdAppomattox, VA 24522(434) 352-07002108 Langhorne RdLynchburg, VA 24501(434) 845-2020Combes, Tabitha D OD1825 Graves Mill RdForest, VA 24551(434) 385-5600204 Ambriar PlzAmherst, VA 24521(434) 946-20202108 Langhorne RdLynchburg, VA 24501(434) 845-2020Curl, Michael W OD1503 Enterprise DrLynchburg, VA 24502(434) 832-07001825 Graves Mill RdForest, VA 24551(434) 385-5600191 Old Courthouse RdAppomattox, VA 24522(434) 352-0700204 Ambriar PlzAmherst, VA 24521(434) 946-20202108 Langhorne RdLynchburg, VA 24501(434) 845-2020Curran, Patrick B OD8120 Timberlake RdLynchburg, VA 24502(434) 237-2100Farouq, Anna H OD20838 Timberlake Rd SteALynchburg, VA 24502(434) 239-28002514 Langhorne RdLynchburg, VA 24501(434) 845-60867803 Richmond HwyAppomattox, VA 24522(434) 352-5908Gilbert, Tabitha R OPT5525 Fort AveLynchburg, VA 24502(434) 239-3673Greene, Alicia M OD18024 Forest Rd Ste 3Forest, VA 24551(434) 385-58702413 Wards RdLynchburg, VA 24502(434) 239-5323Haley, Billy D OD1503 Enterprise DrLynchburg, VA 24502(434) 832-07001825 Graves Mill RdForest, VA 24551(434) 385-5600191 Old Courthouse RdAppomattox, VA 24522(434) 352-0700204 Ambriar PlzAmherst, VA 24521(434) 946-20202108 Langhorne RdLynchburg, VA 24501(434) 845-2020Hylton-Sylvia, Tonya ROD1664 Anderson Hwy Ste BPowhatan, VA 23139(804) 897-3334Johnson, Michael A OD8120 Timberlake RdLynchburg, VA 24502Fourqurean, Catherine E (434) 237-2100OPT1421 S Main StKahn, Norman M ODFarmville, VA 2390117835 Forest Rd Ste B(434) 392-8408Forest, VA 24551(434) 385-8855Provider information contained in this Directory is updated on a regularbasis and may have changed. Therefore, please check with your providerbefore scheduling your appointment or receiving services to confirmparticipation.
UniView Vision4See Important Notice About Participating Providers BelowUniView Vision - contVision Providers - cont.Kelley, Amanda G OD611 Watkins Centre PkwySte 100Midlothian, VA 23114(804) 287-4200Kingsley, Daniel OD100 N Virginia StFarmville, VA 23901(434) 392-8113Laneve Jr, John F OD3601 Campbell AveLynchburg, VA 24501(434) 845-0629Parker, Adam P OD6019 Harbour Park DrMidlothian, VA 23112(804) 595-2020Robinson, Robie H OD6721 Lake Harbour DrMidlothian, VA 23112(804) 739-4000Linas, Steven A OD611 Watkins Centre PkwySte 100Midlothian, VA 23114(804) 287-4200Parker, Megan S OD6019 Harbour Park DrMidlothian, VA 23112(804) 595-2020Robinson, Roxann L OD6019 Harbour Park DrMidlothian, VA 23112(804) 595-2020Parsons, Ashley M OD14431 Sommerville Ct SteBMidlothian, VA 23113(804) 888-8998Rodammer, Mark D OD20838 Timberlake Rd SteALynchburg, VA 24502(434) 239-2800Pearle Vision6721 Lake Harbour DrMidlothian, VA 23112(804) 739-40002514 Langhorne RdLynchburg, VA 24501(434) 845-6086Lucas, Lauren G OD611 Watkins Centre PkwySte 100Midlothian, VA 23114Kiraly, Bruce A OD14431 Sommerville Ct Ste (804) 287-4200BMartin, Stefani M OPTMidlothian, VA 231135525 Fort Ave(804) 888-8998Lynchburg, VA 24502(434) 239-3673Kish, Michel P OD611 Watkins Centre PkwyMcBride, Edwin L OPTSte 1005525 Fort AveMidlothian, VA 23114Lynchburg, VA 24502(804) 287-4200(434) 239-3673Kramer, Mark A OPTNadolsky, Gary M OD207 Rush St8120 Timberlake RdBrookneal, VA 24528Lynchburg, VA 24502(434) 376-3937(434) 237-2100Krawitz, Seth R MD611 Watkins Centre Pkwy Neidigh, Gerald R ODSte 10014431 Sommerville Ct SteMidlothian, VA 23114B(804) 287-4200Midlothian, VA 23113(804) 888-8998Krym, Robert M OD1825 Graves Mill RdNewman, Miles J ODForest, VA 245518120 Timberlake Rd(434) 385-5600Lynchburg, VA 24502(434) 237-21002108 Langhorne RdLynchburg, VA 24501Palisano, Paul J OD(434) 845-2020611 Watkins Centre PkwySte 100356 Front StMidlothian, VA 23114Lovingston, VA 22949(804) 287-4200(434) 263-5100Peterson, Bert M OD1421 S Main StFarmville, VA 23901(434) 392-8408207 Rush StBrookneal, VA 24528(434) 376-3937Phillips, Clifford I OD20838 Timberlake Rd SteALynchburg, VA 24502(434) 239-28007803 Richmond HwyAppomattox, VA 24522(434) 352-5908Scheibe, Tracy L OD1503 Enterprise DrLynchburg, VA 24502(434) 832-07001825 Graves Mill RdForest, VA 24551(434) 385-5600204 Ambriar PlzAmherst, VA 24521(434) 946-20202514 Langhorne RdLynchburg, VA 24501(434) 845-60862108 Langhorne RdLynchburg, VA 24501(434) 845-20207803 Richmond HwyAppomattox, VA 24522(434) 352-5908Shen, Angela Q OD2348 Colony Crossing PlMidlothian, VA 23112(804) 639-2204Ridgeway, Jordan R OD8120 Timberlake RdLynchburg, VA 24502(434) 237-2100St Clair, Gary H OD20838 Timberlake Rd SteALynchburg, VA 24502(434) 239-2800Provider information contained in this Directory is updated on a regularbasis and may have changed. Therefore, please check with your providerbefore scheduling your appointment or receiving services to confirmparticipation.
UniView Vision5See Important Notice About Participating Providers BelowUniView Vision - contVision Providers - cont.2514 Langhorne RdLynchburg, VA 24501(434) 845-60867803 Richmond HwyAppomattox, VA 24522(434) 352-5908Stoller, Jonathan M OD611 Watkins Centre PkwySte 100Midlothian, VA 23114(804) 287-4200Tellis, Ja'nai X OD6019 Harbour Park DrMidlothian, VA 23112(804) 595-2020The Vision Center197 Madison Heights SqSte 103Madison Heights, VA24572(434) 846-8288Villa, Frank B OD18800 Forest RdLynchburg, VA 24502(434) 385-8800Wagoner, Robert L OD207 Rush StBrookneal, VA 24528(434) 376-2020Wu, Theodore T MD611 Watkins Centre PkwySte 100Midlothian, VA 23114(804) 287-42003701B Old Forest RdLynchburg, VA 24501(434) 385-0213Weatherholt, Otis V OD1912 Graves Mill RdLynchburg, VA 24502(434) 385-7898Whiteside, Leonard BOD920 S Main StBlackstone, VA 23824(434) 292-6393Wilson, Timothy J OD18024 Forest Rd Ste 3Forest, VA 24551(434) 385-5870Tira, Tonya M OD14431 Sommerville Ct Ste 2413 Wards RdLynchburg, VA 24502B(434) 239-5323Midlothian, VA 23113(804) 888-8998Wirz, Aukse J OD13400 Tredegar LakeVeloso, Ashley C OD20838 Timberlake Rd Ste PkwyMidlothian, VA 23112A(804) 739-3221Lynchburg, VA 24502(434) 239-2800Wood, Linda N OPT2514 Langhorne Rd2010 Tate Springs RdLynchburg, VA 24501Lynchburg, VA 24501(434) 845-6086(434) 845-19917803 Richmond Hwy999 Sheffield DrAppomattox, VA 24522Lynchburg, VA 24502(434) 352-5908(434) 846-3937Provider information contained in this Directory is updated on a regularbasis and may have changed. Therefore, please check with your providerbefore scheduling your appointment or receiving services to confirmparticipation.
UniView Vision. SM. Your UniView Vision network. U n iCare L fe and Health I surance ompany vision members hav eacc s to one of the nat on’s largest vision net works. UniView Vision is the only vision plan that gives members the ab ility to use their in-network benef its at 1-800 CONTA
