ComplaintsforPearle Vision
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Complaint Details
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Initial Complaint
04/16/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
Set up appointments with them as they stated they were VSP providers. They DO NOT state they are OPEN access and OUT OF NETWORK, deceiving information given to patients, had we been fully informed that they were out of network further investigations on service would have been given. They offer a 40% discount if you pay out of pocket and send billing into VSP directly.NOT ONCE was it explained or stated out of network, we would have gone to an in network provider. This is unreal that they are being deceiving and not fully stating the terms.. EVEN at check in and setting up appointment information. They are given insurance information and should clearly state the situation with Out of network status. Spoke with manager who clearly is not going to do anything to clarify the situation or to make the situation correct for being undermining of insurance coverages.Business response
04/16/2024
We are unable to comment directly on this patient's order due to HIPPA compliance. It is the responsibility of the patient to understand their insurance benefits and to verify the location that they are going to. We are very transparent with all VSP patients that at this time we are open access in regard to materials (eyewear & contacts) therefore we offer a 40% discount on eyewear so that they can submit their own claim to VSP. Patients have the ability to get a quote for eyewear and contact their insurance company to see what will be covered - we do not guarantee that VSP will pay for anything towards their eyewear as we do not have access to that information. VSP patients have access to location finders and their benefits online making it easy for them to access this information as an open access provider we do not have that information.Customer response
04/17/2024
I am rejecting this response because:
They are ANYTHING but transparent..I have worked health insurance and transparent is stating they accept VSP but in out of network.. per statement of knowledge of our own insurance..fully aware of our insurance as sold on acceptance of VSP and statement is not transparent.. fraudulent statement..manager unaware of what transparency means in insurance verifications and full disclosureBusiness response
04/19/2024
I am sorry that the response was rejected - there is really nothing more we can explain at this point.Customer response
04/19/2024
I am rejecting this response because:
We will be requesting a full refund.
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Customer Complaints Summary
1 total complaints in the last 3 years.
1 complaints closed in the last 12 months.