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Individuals experiencing actual or threatened violence frequently establish new addresses and phone numbers to protect their health and safety.
VSP Vision Service Plan will provide Privacy and Confidentiality for Victims of Violence and Endangered Individuals. Upon notification VSP will accommodate a reasonable request for a covered individual to receive communications of claims-related information from VSP by alternative means or at an alternative address.
Except with the express consent of the requestor, VSP shall not disclose to the policyholder or another insured covered under the policy: (1) the address, phone number, or any other personally identifying information of the covered individual or any child residing with the covered individual; (2) the nature of the health care services provided to the covered individual; (3) the name, address, and phone number of the provider of the covered health care services; or (4) any other information from which there is a reasonable basis to believe the foregoing information could be obtained.
You may request privacy and confidentiality by following these steps:
VSP Legal Department
3333 Quality Drive, MS 16H
Rancho Cordova, CA, 95670
Call VSP at 800.877.7195 if you require assistance in completing the form.
For more information on domestic violence services, you can contact the National Domestic Violence Hotline at: 800.799.7233 or TTY 800.787.3224.