Primary Vision Care Services

Annual enrollment in the PVCS vision plan is for 12 consecutive months of coverage from the original effective date. Annual enrollment requires 12 consecutive monthly payments before the enrollee may drop coverage. Each subsequent annual enrollment also requires 12 consecutive monthly payments. Federal regulations governing IRC, Section 125 plans shall take precedence.

The plan shall remain continuously in effect unless the Employer is properly notified. The contracted fee schedule shall remain in effect for the 12-month period of the contract. Thereafter, any fee changes shall be negotiated between the PVCS Plan Administrator and the contracting organization and be placed in force at Plan update.

Services provided under this plan are being provided at a significant discount from customary fees charged by cooperating doctors. Therefore, appointments you schedule and are unable to keep should always be canceled at the earliest possible time to ensure maximum courtesy in recognition of the doctor’s time and to help keep overall plan fees as low as practical.

During a Plan visit, the Doctor may offer and recommend other optional tests at usual and customary rates to be paid by the patient directly to the Doctor. The patient has the right to decline these optional testing services. The Doctor is not permitted to makes these tests mandatory or a requirement under the Plan. PVCS will not reimburse Doctor for these services.

PVCS Plan services are not currently taxed by any government entity. However, if a government entity establishes a tax for such services any time during the plan period, PVCS reserves the right to add such tax charges to the cost of this offering. Your signature on this agreement constitutes your acknowledgment of notification and approval of such additional charges.

The panel doctor selected by the employee or patient shall be solely responsible for the performance or non-performance of professional services under this contract. Neither the employer nor PVCS shall incur any liability for the actions of the service provider (doctor), whether arising from breach of contract, negligence, or willful misconduct, nor for any financial obligation or liability owed to the service provider by the patient. Any incidence of non-compliance should be immediately reported to the PVCS Plan Administrator.

Primary Vision Care Services, Inc. (PVCS) recognizes that our relationships with current and prospective clients, members, and providers, are based on integrity and trust. Our business sometimes requires that we collect or share certain information about you with other organizations or companies. Our policies and procedures for collection and disclosing personal information, and the choices you have about how we use your information, are available upon request and as required by law.