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University
of Oklahoma (OU) - Student Vision Services Plan |
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| OU
Student Vision Services Plan Design: |
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| For
information regarding your current benefits and services available,
or for a listing of VSP providers, |
| please visit the VSP website at www.vsp.com and click on the members link, or simply click here.. |
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| In-Network
Exam: |
| One
exam,
with a $15 co-pay, plan pays the balance. |
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| In-Network
Lenses: |
One
set of lenses,
with a $25 co-pay, plan pays the balance for
single, bi-focal, and tri-focal lenses. |
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| In-Network
Frames: |
| One
set of frames,
plan pays up to $130, member receives 20% for amounts
over $130. |
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| In-Network
Contacts: |
| One
set of contacts, in
lieu of lenses & frames, plan pays up to $120,
member receives 20% for amounts over $120. |
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| In-Network
Options: |
| Tints:
Discounted |
| Dyes: Discounted |
| Polycarbonate
lenses for children: 100% Covered |
| Polycarbonate
lenses for adults: Discounted |
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Rates: |
Due
to the volatility of student benefit eligibility,
and the fact of all benefits becoming available on
the first day of coverage, it is necessary that the
entire payment is collected upon enrollment, we regret that at this time we are
unable to except monthly payments for this service
plan type. Also we apologize for the fact that we are no longer able to support credit card payments for this plan. |
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| How to Enroll: |
Print out the PDF Enrollment form HERE, complete, and return it to us with your payment enclosed. Upon confirmation of your personal check clearing our accounts, your enrollment will be processed after which you will receive email confirmation of your successful enrollment, followed 3-5 business days later by your welcome kit sent via U.S. Mail.
You should send your application form and payment to:
OU Student Vision Plan Enrollment
USAvision
3851 E Tuxedo Blvd, Suite C
Bartlesville OK 74006 |
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OU Student Vision Plan Rates |
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Equivalent Monthly
Fee |
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Total |
| Student Only: |
$10.45 |
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$125.40 |
| Student & Spouse: |
$17.95 |
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$215.40 |
| Student & Child(ren): |
$18.95 |
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$227.40 |
| Student & Family: |
$29.95 |
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$359.40 |
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| Some
Useful Documents: |
| Enrollment Form (pdf 60kb) |
| Plan
Summary (pdf 709Kb) |
| Vision
Facts & Stats (pdf 1.36Mb) |
| New
Member Letter (pdf 1.39Mb) |
| HIPAA
Privacy Notice (pdf 47Kb) |
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| Please Note: |
Coverage
is subject to verification of eligible student status.
Your coverage is pending
until this has been verified by the University. You will
receive an email confirmation upon completion of this process
welcoming you to your new vision plan. |
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