VSP Choice Lenses
AR
Progressive
Material
VSP INN Reimbursement
$
PT OON Benefits Lenses
$
Materials Copay
$
VSP Choice Frames
PT Frame Allowance
$
Retail Frame Cost
$
Retail Discount
%
PT OON Benefits Frames
$
VSP Choice Exam
PT Co Pay
$
VSP Reimbursement
$
PT OON Benefits Exam
$
| VSP Choice Lenses, Frame, and Exam | In Network | Out of Network | With TGC | |||||
|---|---|---|---|---|---|---|---|---|
| Patient Pays | Practice Profit | Patient Pays | Practice Profit | OON Reimbursement | Patient Pays | Practice Profit | OON Reimbursement | |
| Lenses | {{lenses_in_network_patient_pays_total | currency}} | {{lenses_in_network_practice_profit_total | currency}} | {{lenses_out_of_network_patient_pays_total | currency}} | {{lenses_out_of_network_practice_profit_total | currency}} | {{lenses_with_tgc_patient_pays_total | currency}} | {{lenses_with_tgc_practice_profit_total | currency}} | ||
| Frames | {{d9 | currency}} | {{f9 | currency}} | {{g9 | currency}} | {{i9 | currency}} | {{j9 | currency}} | {{k9 | currency}} | {{m9 | currency}} | {{n9 | currency}} |
| Exam | {{d10 | currency}} | {{f10 | currency}} | {{g10 | currency}} | {{i10 | currency}} | {{j10 | currency}} | {{k10 | currency}} | {{m10 | currency}} | {{n10 | currency}} |
| Totals | {{d11 | currency}} | {{f11 | currency}} | {{g11 | currency}} | {{i11 | currency}} | {{j11 | currency}} | {{k11 | currency}} | {{m11 | currency}} | {{n11 | currency}} |
| OON Reimbursement | {{j11 | currency}} | {{j11 | currency}} | ||||||
| Net Cost | {{g14 | currency}} | {{i14 | currency}} | {{k14 | currency}} | {{m14 | currency}} | ||||
