>>claire lasky. i'm still not clear on the kaiser answer. if these are medical services and someone is a kaiser member and they go to a vfp service to the have to go back to kaiser for the service or they continue to get that service through a vsp ophthalmologist and it's covered under vfp and not under their medical. this is what is not clear and i think that is what the question was. where does that kaiser member go because all kaiser members can have the vfp as well or they do have. how does that get applied for those individuals who are to go to a vsp provider and then have a medical need or a medical procedure that requires it. >>if director dodd can respond to that please do if not we will come back to this. >>if it is medically necessary ophthalmological services are provided by kaiser. i am a kaiser member, if i go to vfp and i haven't had my diabetic retinal screen the vfp my understanding here is that the vfp optometrist could be determining where i get that. is that clear? is that accurate? it is not accurate? >>okay clarification