Lines of Business

COMMERCIAL

Stand alone group and individual 

SENIOR MARKETS

Medicare Advantage, Medicare Supplemental

glasses

ACA/Exchange

Embedded pediatric vision for individual & small group

Medicaid

State-mandated benefits and value-added offerings

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

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.

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

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