/ /

  • linkedin
  • Increase Font
  • Sharebar

    ODs top 4 gripes about vision care plans: Part 2—Does it have to be this difficult?

    The views expressed here belong to the author. They do not necessarily represent the views of Optometry Times or UBM Medica.

    In an attempt to bring clarity to the landscape around vision plans, I have put together this five-part blog series.

     In Part 1, I outlined four big topic areas where optometrists seem to have the most complaints with vison plans. 

    Previously from Dr. Spear: ODs’ top 4 gripes about vision care plans—Part 1

    To recap, the four big gripes are:

    1.     Does it have to be this difficult?

    2.     Reimbursements

    3.     Competing with me for retail sales and patients

    4.     Misleading information and misinformation

    In Part 2 of this five-part blog series, let’s take a closer look at Gripe Number One.

    Does it have to be this difficult?

    Comments to my question on Facebook about optometrists’ big gripes with vision plans were numerous. 

    Here are specific comments that optometrists had about the difficulty in dealing with vision plans.

    • “The Fact u need a PhD in “EOB Understanding” to know what you get paid”

    • “Too time consuming for optical staff to explain to patients”

    • “And they never mail ID cards so patients don't know what they have.”

    • “Lack of universal reimbursement across all plans within a vision plan.”

    • “600-page VSP manual”

    These are legitimate complaints. However, what I am going to say about them may upset some of you, and that is OK.  

    You as a provider have a very simple decision to make: Do I accept the plans or not? 

    Related: The benefits of cleaning out your practice

    Deciding to take a plan

    Only you can make this decision. For most practices, I think it is a good business decision to accept vision plans. Send your dissenting opinions and hate mail to [email protected].

    The top five insurers cover ± 164 million lives. (See table below.)

    When we add in other smaller plans around the country, this number will exceed 200 million people with some type of vision care coverage.  

    Carl H. Spear, OD, MBA, FAAO
    Dr. Spear owns a multi-location group practice with his wife Dr. Katie Gilbert Spear in Pensacola, FL. Dr. Spear is commander of the ...


    You must be signed in to leave a comment. Registering is fast and free!

    All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

    • No comments available

    Optometry Times A/V