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Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to.

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Presentation on theme: "Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to."— Presentation transcript:

1 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate (s) and external parties is prohibited. Nice to see you again Texas A&M University System We’re EyeMed

2 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate (s) and external parties is prohibited. Our member experience is off the charts! 2 Open enrollment with local captains Welcome Packet Accessing the benefit: day & night A network employees request Choice: it’s their style & their wallet… They decide! It’s the vision benefit solution that members appreciate most!

3 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate (s) and external parties is prohibited. 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 Children’s Vision About 80% of learning in a child’s first 12 years comes through the eyes 1, and poor vision can slow a child’s reading. The American Optometric Association recommends that every child have a professional eye exam shortly after birth, by 6months of age and again just prior to entering school. Glaucoma 2nd leading cause of blindness Typically affects people over the age of 40 & the chances of developing it are increased by family history, race, extreme nearsightedness or diabetes.. A comprehensive eye exam can detect the onset of glaucoma. Diabetes If left untreated, eye diseases such as retinopathy, cataract, and glaucoma could develop, blurring vision and eventually causing blindness. If you’re diabetic, regular eye exams are especially important because they enable your eye doctor to monitor changes in your eyes, reducing the likelihood of vision-related complications. Vision and Aging As we age, our eyes change. Older adults are at risk for specific eye problems including age-related macular degeneration (AMD) cataracts, and floaters, which could be a symptom of a more serious condition like a detached retina – making the need for an eye exam even more important. 3

4 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate (s) and external parties is prohibited. 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)

5 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate (s) and external parties is prohibited. 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!

6 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate (s) and external parties is prohibited. 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

7 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate (s) and external parties is prohibited. Check out our plan design Feature In-Network Co-payments and Coverage Options Out-of-Network Reimbursement Schedule Eye Examination$10 co-payUp 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 Retinal ImagingUp to $39N/A 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, $120 allowance, 20% off remaining balance Up to $50 Up to $70 Up to $100 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 $210 Frequency Exam Lenses or Contact Lenses Frame Once every 12 months per plan year Once every 24 months per plan year

8 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate (s) and external parties is prohibited. See all the details Covered in full: scratch coating, standard progressive lenses & polycarbonate lenses for children. Additional benefits include: Premium Progressive Lenses:$35-$60 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 copay Your employees get even more:  Exclusive to EyeMed: 40% off unlimited additional pairs  Up to 60% discount on popular lens options not covered by the plan  40%-60% off contact lens fit & follow-up  20% off any item not covered by the plan  20% off any frame balance  Lasik 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

9 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate (s) and external parties is prohibited. 9 Order contacts online using the benefit Network ContactsDirect.com:  You can order contacts in one easy spot without leaving home  Top brands and products offered with competitive pricing  98.6% of orders ship the same day the prescription verifies – with free shipping  Members can even use their in- network benefit!

10 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate (s) and external parties is prohibited. Simple steps to access the benefit Step 1 Locate a provider at eyemed.com, choose the “SELECT” network of providers in the drop-down menu. Search by zip code. Provider information is also available by calling 1-866-804-0982. Step 2 Schedule an appointment by either calling the provider directly or scheduling online* at eyemed.com * (select locations available) Step 3 When you arrive, identify yourself as an EyeMed member & present your ID card. No ID card? No problem, the provider can verify your benefits by using your name & date of birth. Step 4 You pay the provider applicable copays & surcharges based on the lens options you have selected and the provider does the rest!

11 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate (s) and external parties is prohibited. Helpful communication – including an ID card 11 eyemed.com benefit summary open enrollment

12 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate (s) and external parties is prohibited. 12 Award-winning service day & night 362 days a year, we’re here Monday – Saturday: 6:30 – 10 p.m. CT Sunday: 10 – 7 p.m. CT 99.5 % 1 st call resolution rate 1 5 sec. avg. speed of answer Skill-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.

13 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate (s) and external parties is prohibited. Who knew vision can be easy, fast &…mobile? 13 Online exam scheduling*  Linked directly from our provider locator at eyemed.com Mobile-optimized web  Locate a provider  View ID card  View benefits  Contact EyeMed  Find answers to common questions Eyesiteonwellness.com  One-stop reference library, videos & downloadable materials  Regularly updated materials to incorporate in company communications  Wellness calendar allowing employers to customize the frequency of communications *Available at participating providers

14 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate (s) and external parties is prohibited. Any questions?


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