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Agmt91 Vision Service Plan VSP
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Agmt91 Vision Service Plan VSP
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Last modified
7/5/2005 2:29:18 PM
Creation date
11/9/2004 11:05:46 AM
Metadata
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Template:
Agreement
Contractor Name
Vision Service Plan VSP
PROJECT NAME
vision care coverage
RMP File Number
304
Date
9/29/1988
MO Ref
91-200 93-248 96-061 98-005
Box
5860
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<br /> VISION SERVICE ~ <br /> III. NON-PANEL PROVIDERS <br /> Low Vision benefits secured from a doctor who is NOT a member of the <br /> VSP panel are subject to the same time limits and co-payment <br /> arrangements described herein. The covered person should pay the <br /> non-panel provider his full fee. Covered persons will be reimbursed <br /> in accordance with an amount not to exceed what VSP would pay a panel <br /> provider in similar circumstances. NOTE: There is no assurance that <br /> this amount will be within the 25% co-payment feature. Reimbursement <br /> benefits are not assignable. <br /> -AZ- <br /> .. <br /> 1!87LV <br /> . ...-...-......... <br />
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