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ANISOMETROPIA
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A condition of unequal refractive state for the two eyes; one eye requiring a different lens correction than the other.
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APPROVED LABORATORIES
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Laboratories contracted with VBA Vision to manufacture lenses
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BENEFICIARY
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The participant, eligible spouse and eligible unmarried child(ren) (if dependent coverage is provided) of the subscriber contract for the program
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BENEFITS ADMINISTRATOR
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Person at the employer’s office who manages eligibility
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BLENDED LENSES
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Bifocals which do not have a visible dividing line
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COATED LENSES
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A substance which is added to a finished lens on one or both surfaces
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CREDENTIALING
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Process that verifies provider’s qualifications
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DILATION
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Gives doctors a better view of the eye’s internal structures
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DISPENSE
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Distribute products ordered according to prescription and ensure proper fit
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ELIGIBILITY
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Member or dependent is an active member on the plan and is authorized to receive services according to plan schedule and usage
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EYE EXAM
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Eye exam includes an evaluation of complete history of the patient, external examination of the eyes, internal examination of the eyes, objective and subjective refraction and visual acuity, muscle balance and fusion evaluation with near point tests, depth and color perception tests, tonometry
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MATERIALS
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Lenses, frame, low vision aids contact lenses
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MEMBER SERVICES
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Customer care support to our members (employees and their families)
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MEMBER
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Employee covered for a VBA Vision care plan through their employer |
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OPHTHALMOLOGIST
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Medical doctor (DO or MD) specializing in surgical eye problems
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OPTICAL LAB
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Optical lens laboratory is where lenses are fabricated to correct a patient’s refractive error
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OPTOMETRIST
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An eye doctor who earned a Doctor of Optometry degree (OD) and examines eyes for vision and health problems, corrects refractive errors by prescribing eye glasses or contact lenses
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ORTHOPTICS
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The teaching and training process for the improvement of visual perception and coordination of the two eyes for efficient and comfortable binocular vision.
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OUT-OF-NETWORK CLAIM
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A form which is used to submit for out-of-network reimbursement when the beneficiary selects a doctor not in the VBA Vision network
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PARTICIPANT
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The employee(s), member(s) of the subscriber who contracted for the program
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PARTICIPATING DOCTOR
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Providers who accept vision insurance through VBA Vision
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PARTICIPATING PROVIDER
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Providers who accept vision insurance through VBA Vision
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PARTICIPATING PROVIDER AGREEMENT
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Lists the rights and obligations for providers
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PHOTOCHROMIC LENSES
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Lenses which change color with intensity of sunlight
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PLAN RATE AND LIMIT SCHEDULE
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Schedule of provider reimbursements, the charges to the patient and more thoroughly explains plan policies
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PREFERRED PROVIDER ORGANIZATION
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(PPO) An insurance plan with a panel of eligible providers
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PROFESSIONAL SERVICE
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Examination, material selection, fitting of glasses, related to adjustments, etc.
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PROVIDER
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The optometrists, ophthalmologists and retail optical locations
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PROVIDER APPLICATION
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Document required in order for a provider to be added to the network
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PROVIDER RELATIONS
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Group of dedicated representatives on staff to answer provider questions
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SUBSCRIBER OR CONTRACT HOLDER
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“Subscriber” refers to the entity that contracts with VBA Vision on behalf of its participant and in some cases is referred to as “Contract Holder”
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TINTED LENSES
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Lenses which have additional substance added to produce constant tint (e.g. pink, green, gray, blue, etc.)
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VISUAL ACUITY
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The sharpness of retinal focus within the eye (20/20 vision is a term used to express normal visual acuity)
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