Lines of Business

COMMERCIAL

Stand alone group and individual 

SENIOR MARKETS

Medicare advantage, Medicare supplemental

glasses

ACA/Exchange

Embedded pediatric for individual & small group

Medicaid

Embedded exam & materials

Federal Markets

Including federal employees and military programs

The vision package with more

  • Network options that provide access to the biggest network with the most choice
  • Innovative products, solutions and value added offerings
  • Claims and administrative platform and data security
  • Clinical programs focused on improving members’ health
  • Comprehensive understanding of federal and state specific regulations, compliance and reporting

COMMERCIAL – STAND-ALONE (SA) GROUP & INDIVIDUAL

Whether stand-alone or embedded, we can help implement the right commercial solution - with a plan design that best fits the product.

Our top selling commercial plans include options that range from $0 - $25 dollar copays for exams and lenses, with materials allowances that range from $120-$150. Plus, our benefit options always include multi-tier plan options, extra savings on products and services, optional add-on benefits and riders - all this, without confusing formularies or limiting restrictions.

And - because we understand that direct-to-consumer efforts have increased in healthcare, we can build and administer an Individual product solution customized to meet the unique needs of your members.

Commercial Solutions overview (pdf) 

SENIOR MARKETS – MEDICARE ADVANTAGE, MEDICARE SUPPLEMENTAL

We have a deep understanding of the eye conditions and challenges prevalent in the senior market. Whether it's Medicare Advantage, Medicare Supplemental or Individual offerings, we have solutions to meet the needs of Seniors. Watch the video below and see what it’s like when your Medicare plan is Powered by EyeMed.

Medicare Advantage overview (pdf) 

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ACA/EXCHANGE – EMBEDDED PEDIATRIC FOR INDIVIDUAL & SMALL GROUP

Our pediatric vision benefit is a forward-thinking solution, designed to cover CMS requirements found in the ACA’s “Essential Health Benefits.”  This benefit includes:

  • An annual comprehensive eye exam
  • Polycarbonate and photochromic lens options
  • Contact lens fit and follow-up service 
  • 40% off a second complete pair of eyeglasses 

Pediatric ACA Solutions overview (pdf)

FEDERAL MARKETS – INCLUDING EMPLOYEE AND MILITARY PROGRAMS

We understand that every opportunity in the Federal space is unique.

That’s why we have a dedicated team coordinating efforts throughout the opportunity lifecycle – ranging from pre-RFP planning activities to implementation and execution. Our goal is to deliver a Federal Markets solution tailored to meet the specific proposal requirements while also complimenting unique win themes and capture strategies.

MEDICAID – EMBEDDED EXAM & MATERIALS

The world of Medicaid is full of growth—in membership, in variety of needs, in regulations. All of this adds up to a growing number of challenges for your plan.

EyeMed understands these challenges and offers market-leading solutions to help you overcome them. When your Medicaid plan is Powered by EyeMed, you offer more of what members expect, and more of the unexpected.

We know that every state is unique and we stand ready to deploy customized solutions to meet our partners’ needs. We have a proven track record for developing networks that are Compliant, Accessible, Ready and Equipped to serve Medicaid beneficiaries. Watch the video below and see what it’s like when your Medicaid plan is Powered by EyeMed.

Medicaid Solutions overview (pdf)

8393 EyeMed Medicaid REV_1080H264

1 - Medicaid networks are custom built networks
2 - EyeMed Access Network