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Nice to  s ee you again Texas A&M University System Nice to  s ee you again Texas A&M University System

Nice to s ee you again Texas A&M University System - PowerPoint Presentation

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Uploaded On 2020-06-22

Nice to s ee you again Texas A&M University System - PPT Presentation

Were EyeMed Our member experience is off the charts 2 Its the vision benefit solution that members appreciate most The importance of eye exams From our first steps to our first grandchild vision affects every aspect of our life at every stage in life ID: 783137

amp pay lenses vision pay amp vision lenses eyemed contact eye 150 copay lens exam covered provider options premium

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Presentation Transcript

Slide1

Nice to see you again Texas A&M University System

We’re EyeMed

Slide2

Our member experience is off the charts!

2

It’s the vision benefit solution that

members appreciate most!

Slide3

The importance of eye exams

From our first steps to our first grandchild, vision affects every aspect of our life, at every stage in life

3

Slide4

See what comes with our eye exams

The annual eye exam recognized as a primary entry point into the health care system

EyeMed requires the submission of all applicable ICD-9 diagnosis codes for claims submission

Dilation is a key procedure for diagnosis of diabetes, hypertension and heart disease

Dilation is included in all exams at no additional charge but at the determination of the provider

EyeMed Vision Care’s panel conducts comprehensive eye examinations to diagnose or detect existing conditions of the eye and vision system.

Tests and procedures of a comprehensive exam include:

Case History

Evaluation of visual system’s status

Refractive Status

Binocular Function

Assessment, diagnosis and treatment plans

Contact Lens Exam & Evaluation (when appropriate)

Slide5

We give our members options

5

FASHION

FUNCTION

ECONOMIC

PREMIUM

Whether you choose a provider based on your schedule, style or value,

…no matter what, we have you covered!

Slide6

You are free to choose vision care…

6

When

Where

How

Convenient locations in or near major shopping centers with longer hours on nights and weekends

Appointment

times that fit your schedule

We have you covered from coast to coast with more than 65,000

provider access points including over 4,900 retail locations including Lenscrafters, Pearle Vision, Target Optical, Sears Optical, JC Penny’s Optical and many more!

No restrictive “collections” or “formularies” Choose from either glasses or contact lenses

Take your RX anywhere in-network to have it filled

And rest assured, all benefits & discounts are applied consistently in our network

Slide7

Check out our plan design

Feature

In-Network

Co-payments and Coverage Options

Out-of-Network Reimbursement Schedule

Eye Examination

$10 co-pay

Up to $50

Exam Options:

Standard Contact Lens Fit & Follow-Up

Premium Contact Lens Fit & Follow-Up

Covered in full

10% off Retail, then apply $40 allowance

$40

$40

Frame

$0 Co-pay, $130 Allowance, 20% off balance over $130*

Up to $90

Standard Plastic Lenses:

Single Vision

Bifocal

Trifocal

Lenticular

Standard Progressive

Premium Progressive

$15 Co-pay

$15 Co-pay

$15 Co-pay

$15 Co-pay

$15 Co-pay

$15 Co-Pay, $120 allowance, 20% off remaining balance

Up to $50

Up to $70

Up to $100

Up to $100

Up to $70

Up to $70

Contact Lenses

(in lieu of eyeglass lenses):

Conventional

Disposable

Medically Necessary

$0 Co-pay, $150 Allowance , 15% off balance over $150

$0 Co-pay, $150 Allowance , plus balance over $150

$0 Co-pay, Paid-in-Full

Up to $150

Up to $150

Up to $210

Frequency

Exam

Lenses or Contact Lenses

Frame

Once every 12 months per plan year

Once every 12 months per plan year

Once every 24 months per plan year

Slide8

See all the details

Covered in full:

scratch coating , standard progressive

l

enses & polycarbonate lenses for children. Additional benefits include:

Premium Progressive Lenses: $41-$53 copay Tint (Solid or Gradient): $15 copay

UV Coating: $15 copay Polycarbonate- Adult: $40 copay Standard Anti-Reflective: $45 copay Premium Anti-Reflective: $57-$68 copay

Transition: $75 copayYour employees get even more:

Exclusive to EyeMed: 40% off unlimited additional pairs

Up to 60% discount on popular lens options not covered by the plan40%-60% off contact lens fit & follow-up20% off any item not covered by the plan20% off any frame balanceLasik Discount – 15% off retail pricing or 5% off any promotional price

at U.S. Laser Vision locations

Lens options are also available at fixed pricing to EyeMed members

Slide9

Simple steps to access the benefit

Slide10

Helpful communication – including an ID card

10

eyemed.com

b

enefit summary

open enrollment

welcome packet

Slide11

11

Award-winning service day & night

362

days a year, we’re here

Monday – Saturday:

7:30 – 11 p.m. ET

Sunday: 11 – 8 p.m. ET

99.5

%

1

st call resolution rate14sec. avg. speed of answerSkill-based routing so your calls are answered by the right vision benefits expert every time

Certified Center of Excellence by Benchmark Portal 3 years in-a-row

We are accessible,

helpful,

& great at what we do.

Slide12

Who knew vision can be easy, fast &…mobile?

12

Online exam scheduling*

Linked directly

from

our provider

locator at eyemed.comMobile-optimized web

Locate a provider

View ID cardView benefitsContact EyeMed

Find answers to common questionsEyesiteonwellness.comOne-stop reference library, videos &

downloadable materialsRegularly updated materials to incorporate in company communicationsWellness calendar allowing employers to customize the frequency of communications

*Available at participating providers

Slide13

Any questions?