Lines of Business
Our team, platform, and capabilities are designed to support a vision benefit solution in the commercial and/or government space.
Our team, platform, and capabilities are designed to support a vision benefit solution in the commercial and/or government space.
Stand alone group and individual
Medicare Advantage, Medicare Supplemental
Embedded pediatric vision for individual & small group
State-mandated benefits and value-added offerings
Including federal employees and military programs
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.
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.
At EyeMed, our focus is what matters most to you. We see the Medicare Advantage space growing and we're here to support this opportunity with an added vision solution. Our one-stop shop is built with the expertise, platform and partnership capabilities to deliver a market leading vision solution in the Medicare Advantage space. In other words, you can trust us to deliver a Medicare Advantage vision solution tailored to meet your unique needs and contribute to your plan’s success.
Our track record is proven through our Medicare Advantage partnerships across the country. We understand the compliance environment and have experience supporting our partners throughout the partner lifecycle. Our market perspective is based on our Medicare Advantage Market Assessment database that includes historical data, competitive landscape, vision benefit information and star ratings, and supports our consultative benchmarking process to optimize competitive positioning in our partners’ local markets.
As the vision experts, we know that quality measures are a critical part of the health insurance landscape and that vision plays an important role in evaluating members’ overall health. We know this because we partner with some of the nation’s largest healthcare organizations to facilitate vision care for their members and to help ensure they're successful on critical performance measures. Our quality program is focused on providing network access and locations convenient for senior members and benefits that reduce financial barriers to care and drive utilization, member engagement and education around eye wellness, chronic conditions, for example diabetes and ensuring members visit the most appropriate providers for needed care. Behind the scenes, we monitor and audit the care provided to prevent fraud, waste and abuse. Then we share the diagnosis coding and the data capture for you to leverage in your overall disease management programs.
There's no need for a blurry solution. Become a Powered by EyeMed partner and see clear results.
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.
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:
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.
At EyeMed, our focus is what matters most to you. We see the Medicaid space growing, and we're here to support this opportunity with a tailored vision solution. Our one-stop-shop is built with the expertise, platform, and partnership capabilities to deliver a market leading vision solution in the Medicaid space. In other words, you can trust us to deliver a Medicaid vision solution tailored to meet state requirements and your unique needs.
Our track record is proven across multiple states and programs, and we continue to grow state by state, servicing multiple beneficiary types, including Temporary Assistance for Needy Families, Children's Health Insurance, dual-eligible, and more. We have a thorough understanding of the unique challenges for Medicaid with solutions such as training programs, extended office hours, alternative settings, and mobile options.
From day one, you'll have access to our extensive provider network and our flexible product offerings and materials solution. We are no strangers to CMS and state specific rules, regulations, and reporting. We're focused on ensuring that our network meets compliance expectations, which is why we build custom Medicaid eye care networks in states we support to ensure all contracted providers meet a specific set of readiness criteria. We know each state has unique requirements that impact how eyeglasses are administered. And that based on those state requirements, it's nice to have high-quality, cost-effective choices. So we're able to support or administer services from frame kits to state provided materials. Our frame kit, inclusive of an online catalog of SKUs, is customized to meet space specific age, gender, demographics.
Our online tools, resources and systems make the vision solution easy. InFocus is our one-stop shop for provider information and requirements to ensure that our providers are informed and compliant. Our EyeMed provider portal is an online system that allows providers to file claims and place eyewear orders. There's no need for a blurry vision solution. Partner with EyeMed and see clear results.