Join VisIcare® Value Plan Now

Please read the following before proceeding with enrollment process:

The following represents the terms and conditions of enrollment in the Preferred Eyecare Providers VisIcare® Value Plan :

Definitions:

"Immediate Family" - Spouse, dependent children, stepchildren under the age of 23 and parents living in the same household.

"Member" - means an individual enrolled for coverage under this Benefit Plan.

"Participating Provider" - means a licensed health care professional, including Provider, who has entered into a participation agreement with this plan to provide health care services to members.

Enrolled members will be issued a membership identification card entitling them and their immediate family to discounted fees as described in the VisIcare® Value Plan Fee Schedule. One card will be issued under the enrollee's name, which will be valid for all immediate family members. Said identification card will bear the head of household's name and social security number and effective dates of coverage. Membership identification card will be mailed to the address provided within 2 weeks.

Dates of coverage will be determined in the following manner: Effective date will be the 1st day of the month following receipt of enrollment and payment. Expiration date will be 12 months following that date.

Participating provider doctor may verify the current status of the member's eligibility for eyecare services by requesting presentation by the member the identification card or by contacting PEP between 8:00 a.m. and 5:00 p.m. EST, Monday through Friday. In the event that PEP subsequently determines that the individual was not eligible for coverage for the services rendered, PEP shall not be liable for payment and Provider may directly bill the individual for their usual and customary fees.

It is understood by the parties that PEP is a preferred provider organization and is acting herein only to facilitate and administer the Preferred Eyecare VisIcare® Value Plan, that the doctor/patient relationship exists between the member and the providing doctor and that PEP does not warrant, guarantee, or assume liability for acts, omissions, or products provided under this agreement.

It is understood by the parties that member has verified that a participating provider is available in his/her geographical area and that no refunds will be made for this reason.

This represents the entire agreement of the parties. No representations or agreements between the parties oral or otherwise, has any force or effect.

This agreement shall be construed in accordance with the laws of the State of Ohio.