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Nice to see you! We’re EyeMed August 2014 1. Why we’re here  Meet EyeMed and see the difference  Lets talk about your vision  And how we support that.

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Presentation on theme: "Nice to see you! We’re EyeMed August 2014 1. Why we’re here  Meet EyeMed and see the difference  Lets talk about your vision  And how we support that."— Presentation transcript:

1 Nice to see you! We’re EyeMed August 2014 1

2 Why we’re here  Meet EyeMed and see the difference  Lets talk about your vision  And how we support that vision – choice for your employees  Using the benefit is so easy!  We’re here to serve!  How do you get the word out to employees? 2 August 2014

3 Let’s run through the plan summary 3

4 In a nutshell… 4  Coverage elected during the annual enrollment period of October 1 st to November 1st begins January 1, 2015  Benefits are calendar year  Exam and Lenses or Contact Lenses: once per calendar year  Frame: Once per every two calendar years.  Four Tier 100% Voluntary Rates  Two plan choices: Basic or Expanded  Extra savings on Expanded plan:  35% savings on anti-reflective  55%-65% savings on progressive lenses  Savings on both plans:  40% off additional complete pair eyewear purchases – unlimited! August 2014

5 5 Basic Plan ServiceIn-NetworkOut-of-network Routine Eye Exam$0 copay$30 reimbursement Frame Allowance$50 allowance; 20% discount off amount over allowance $50 total frame and lens reimbursement Standard Lenses$50 allowance; 20% discount off amount over allowance $50 total frame and lens reimbursement Eyeglass Standard Lens Options (Upgrades) 20% off retail priceN/A Exam for Contact Lenses15% DiscountN/A Contact LensesMedically Necessary: $150 allowance Elective: $50 allowance Medically Necessary: $75 reimbursement Elective: $25 reimbursement LASIK/Refractive Surgery Discount15% off usual and customary fees N/A 21 % of State employees chose Basic in 2014 *Rates are subject to change August 2014 Premium Rates Per Month : Employee $3.35 Employee + Child(ren)$6.69 Employee + Spouse$6.35 Employee + Family$9.83

6 6 Expanded Plan ServiceIn-NetworkOut-of-network Routine Eye Exam$10 copay$45 reimbursement Frame Allowance$115 allowance; 20% discount off amount over allowance $70 reimbursement Standard Lenses$15 copayment includes glass or plastic, single vision, lined bifocal, trifocals and lenticular lenses Single vision: $30 reimbursement Lined bifocal: $50 reimbursement Lined trifocal: $65 reimbursement Eyeglass Standard Lens Options (Upgrades) Maximum Copayments: Standard Progressive: $55 Premium Progressive: $75- $100* Standard Anti-Reflective: $45 Premium Anti-Reflective: $57-$68 Polycarbonate: $30 or $0 for dependents 18 and under Photochromics: $70 Scratch resistance coating: $15 UV Coating: $10 Tints: $25 20% discount on all other lens options Maximum Reimbursements Standard Progressive: $50 Premium Progressive: $50 Standard Anti-Reflective: N/A Premium Anti-Reflective: N/A Polycarbonate: $5 Photochromics: $5 Scratch resistance coating: N/A UV Coating: $5 Tints: N/A No discount out-of-network 79% of State employees chose Expanded in 2014 *Rates are subject to change August 2014

7 7 Expanded Plan (continued) ServiceIn-NetworkOut-of-network Exam for Contact LensesCopayment not to exceed $60N/A Contact LensesMedically Necessary: covered at 100% Elective: $130 allowance Medically Necessary: $100 reimbursement Elective: $50 reimbursement LASIK/Refractive Surgery Discount15% off usual and customary fees N/A 79% of State employees chose Expanded in 2013 *Rates are subject to change August 2014 Premium Rates Per Month : Employee $5.86 Employee + Child(ren)$11.72 Employee + Spouse$11.14 Employee + Family$17.23

8 What the plans don’t cover:  Treatment of injury or illness covered by Workers’ Compensation or Employer’s Liability Law  Services received without cost from any federal, state or local agency. This exclusion will not apply if prohibited by law.  Cosmetic surgery or procedures for purely cosmetic reasons.  Charges by any hospital or other surgical treatment facility and any additional fees charged by the vision for treatment in any such facility.  Services by a vision provider beyond the scope of his or her license.  Vision Services for which the patient incurs no charge. 8 August 2014

9 It’s your vision and your vision plan …see how we make it amazing! 9

10 10 Using the benefit as easy as 1…2…3 1. Locate a Provider 2. Set an Appointment 3. Receive Services In-Network 1. Set an Appointment 2. Pay for Services 3. Submit OON Claim Form with Receipts Out-of-Network (OON) August 2014

11 Access to our doctors & providers 11 100 % urban access to 2 providers within 10 miles 100 % suburban access to 2 provider within 15 miles 98% Rural access to 1 provider within 20 miles And there’s more…  1135 providers at 443 locations in State of TN – more than in 2013!  85% Private Practice; 15% Retail Chain  Provider nomination forms available online at www.eyemedvisioncare.com/stofTN August 2014

12 Member web is easy & fast 12 Online exam scheduling*  Linked directly from our provider locator at www.eyemedvisioncare.com/stoftn or at www. eyemed.com www.eyemedvisioncare.com/stoftn Self service on the web  Locate a provider  Download printable ID cards and EOB  View benefits and eligibility status  Contact EyeMed  Find answers to common questions  View vision wellness information  Review LASIK information #1 used feature on our member web is the provider locator tool! In a world of instant gratification, our members can manage their vision care when and where they need to *Based on EyeMed web analytics research *Available at participating providers August 2014

13 There’s an app for that 13 Available today for iPhone users, coming soon for Android users. Members get fingertip access to:  provider locations and driving directions  benefits eligibility  in-network benefit details  ID card  FAQs  help line Accessing ID card has never been easier  Log into app, shake phone for ID Card! EyeMed is the first Managed Vision Care to introduce a member app! August 2014

14 14 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 4 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. Call EyeMed toll free 855-779-5046 August 2014

15 From the very beginning, we’ll support every step of the way 15

16 Helpful communication 16 handbook open enrollment August 2014 Eyemedvisioncare.com/stofTN

17 17 EyeMed Supports ABCs  One-stop reference library, videos and downloadable materials to use in conjunction with the State of TN wellness initiatives.  Regularly updated materials to incorporate in communications and conversations with employees about the State’s wellness topics. EyeSight On Wellness Open Enrollment and Health Fair Support  Live EyeMed Representatives available for locations of 200+ employees and 30 day notice  Signage, materials and giveaways mailed to locations with 2 week notice  Email event date, time and number of attendees to openenrollment@eyemed.com and we will contact you about your event!openenrollment@eyemed.com August 2014

18 Finally, lets just talk Any questions? 18


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