Vision Benefits for the way you Live, Work and Play

Transcription

1 Vision Benefits for the way you Live, Work and Play 1

2 Global Industry Leader Manufacturing Manufacturing Distribution Distribution Vision Care Philanthropy Philanthropy Providing vision care since 1988 Fastest growing MVC company in the industry* Serving more than 33 million members through 9,000 clients Managing more than 63,000 providers at more than 26,000 locations * Sources: Based on multiple sources, including Top 10 Managed Vision Players, Vision Monday, October 2, 2010, and self-reported industry data More than 50 years of industry expertise! 2

3 OneSight SM gives the gift of sight through four program areas: Global Eye Care Regional Eye Care Community Eye Care Preventative Eye Care Employee volunteers travel to developing countries to deliver free eye care and recycled eyewear Organized clinics and traveling vision vans provide free regional eye care and new eyewear Volunteers help their local communities though in-store and outreach programs. Funds optical research and scholarships to students pursuing a degree in Optometry 3

4 A Luxottica Family of Vision Care Charities 2012 OneSight SM Clinics 12 Global Clinics in 6 countries 12 Regional Clinics 23 Vision Van Clinics OneSight Hurricane Sandy Relief: Conducted two vision van clinics in the hardest hit areas of NJ: Oceanport Moonachie 50 OneSight volunteers arrived Assisted those housed at Red Cross Shelters Helped more than 160 victims of the storm Provided complete eye exams and eyewear donated by Luxottica USA and Oakley Proud sponsor of SeeMore & EyeLeen. 4

5 New OneSight Vision Centers Bringing complete eye care and eyewear to those in need CityLink Provides opportunity to advance education and employment options Center will be the first of its kind and is expected to provide complete eye exams and new eyewear to as many as 3,000 people annually Oyler School The first self-sustaining school-based vision center in the US. Through 2013, the Center will focus on serving Cincinnati Public School students on an Individualized Education Program (IEP) and those who have failed vision screenings Intends to expand services to all Cincinnati public, private, and parochial students in need of care The Center expects to provide complete eye exams and new eyewear to as many as 2,000 CPS students annually 5

6 Vision Wellness 6

7 Eye exams are important for you and your entire family. From our first steps to our first grandchild, vision affects every aspect of our life, at every stage in life Children s Vision Glaucoma Diabetes Vision and Aging About 80 percent 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 six months of age and again just prior to entering school. Glaucoma is the second leading cause of blindness. It typically affects people over the age of 40, and 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. If diabetes is 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. 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. That s why as we get older, annual eye exams are more important than ever. 7 7

8 Vision Wellness Vision Care is More Important Than Ever Annual Eye Exams can detect early signs of chronic diseases potentially lowering employers health care costs. Normal Retina Retina with Diabetes 55% of people say they worry about vision loss Baby Boomers are Concerned about Vision Loss One out of every four children, ages 5-12, has a vision problem that will affect educational performance. 62% 60% 55% 52% 46% 35% Our providers have diagnosed more than 527,800 high-risk members over the past 3 years Source: Prevent Blindness America,

9 Network Accessibility 9

10 Network Accessibility Accessibility Review A contemporary network solution that addresses real lifestyle accessibility! Network Growth Providers Added Insight Network Composition +5,129 +3,979 +3,517 5% 5% 3% 2% 2% Private Practice Regional/Local Retailers LensCrafters 9% Sears Optical 74% Pearle Vision Target Optical JCPenney Optical We are consistently growing our network to meet member demand Source: EyeMed Vision Care Internal Network Analysis 10

11 Network Accessibility Retail - Lifestyle Accessibility Diverse mix of providers to meet the unique member demographics of Georgia Tech All providers are contracted to consistently apply all benefits and discounts PREMIUM FUNCTION FASHION ECONOMIC 11

12 Member Benefits 12

13 Georgia Tech Vision Plan Design Feature In-Network Co-payments and Coverage Options Out-of-Network Reimbursement Schedule Eye Exam with Dilation $10 copay Up to $40 Frame $0 Copay, $150 Allowance, 20% off balance over $150 Up to $50 Standard Plastic Lenses: Single Vision Bifocal Trifocal Standard Progressive (No-line Bifocal) Premium Progressive $20 Copay $20 Copay $20 Copay $85 Copay See Fixed Premium Progressive Price List Up to $45 Up to $65 Up to $85 Up to $65 Up to $65 Lasik or PRK from U.S. Laser Network Contact Lenses (in lieu of eyeglass lenses): Conventional Disposable Medically Necessary Std Contact Lens Fit/Follow-up exam Premium Fit/Follow-up exam Frequency Exam Lenses OR Contact Lenses Frame Laser Vision Correction 15% off retail price or 5% off promotional price less $1,000 allowance $0 Copay, $150 Allowance, 15% off balance over $150 $0 Copay, $130 Allowance, no discount over allowance $0 Co-pay, Paid-in-Full Up to a maximum $55 copay 10% off retail price Once every 12 months Once every 12 months Once every 24 months Once Per Lifetime $1,000 allowance Up to $125 Up to $125 Up to $210 N/A N/A 13

14 Georgia Tech Vision Plan Design Lens options are also available at fixed pricing to EyeMed members Below are the most common lens options selected by EyeMed members- a complete list is available online or by calling Member Services. Member Cost Standard Scratch Coating: Covered in full Tint (Solid or Gradient): $15 UV Coating: $15 Polycarbonate *- Child : Covered in full Polycarbonate*- Adult: $40 Standard Anti-Reflective $45 Photocromatic (Transition Plastic) $75 Polarized & Other Add-ons: 20% off Retail Price * Polycarb = Shatter-resistant lenses 14

15 Laser Vision Correction How To Use The Benefit To locate a U.S. Laser Network provider, call Schedule a consultation with an in-network doctor. The doctor will determine if you are good candidate and which technology and procedure are best to correct your vision. Featured Providers are the only in-network providers to offer extra member value: FREE LASIK exam (over $100 value) Special member prices from $695*-$1,895/eye FREE enhancements for life on most procedures To activate the discount and authorize your benefit, call and a representative will send your information to the in-network doctor of your choice. On the day of the procedure, you should pay or arrange to pay the balance of the fee. *Nearsighted better than -2.00, with astigmatism better than and other restrictions may apply. In-network providers extend these discounts: 15% off standard prices -or- 5% off promotional prices (whichever results in the lowest price to the member) LASIK Standard Price (example) Average Cost in Atlanta Area $4,000 Less 15% off $600 Total $3,400 Less Lasik Allowance $1,000 Estimated Cost w/benefit $2,400 -OR- LASIK Promotional Price (example) Promotional Price $3,500 Less 5% off $175 Total $3,325 Less Lasik Allowance $1,000 Estimated Cost w/benefit $2,325 Promotions will vary by provider and location. 15

16 Service Excellence Member Out-of-Pocket Common Transactions 43% of those surveyed indicated Savings/Low out of pocket costs was the most important feature of a vision plan Source: 2008 Jobson Consumer Perceptions of Managed Vision Care Single Vision With EyeMed Without Vision Coverage Routine Exam $10.00 $88.00 Single Vision Lenses $20.00 $75.00 Polycarbonate Lens $40.00 $62.00 Frame/$170 Retail Frame $16.00 $ Total Member Cost $86.00 $ Premium Progressives Routine Exam $10.00 $88.00 Premium Progressive Lenses (Varilux Comfort) $ $ Frame/$250 Retail Frame $80.00 $ Total Member Cost $ $ Contact Lenses Exam with Co-Pay $10.00 $88.00 Standard Contact Lens Fit & Follow-Up Purchase $200 Disposable Contact Lenses $55.00 $74.00 $50.00 $ Total Member Cost $ $

17 Additional Savings for EyeMed Members No Formularies ANY frame ANY lens ANY contact lens ANY providertype 40% Discount Off unlimited additional prescription glasses at any EyeMed provider location, anytime 20% Discount Off any balance that exceeds the frame allowance. Items not covered by the plan (accessories) Overall Member Savings 17

18 EyeMed ID Cards: A Clear View of Your Benefits The EyeMed welcome brochure and ID card includes a personalized benefit summary and list of nearby retail and independent providers by member s home zip code 18

19 You are now free to choose vision care When Where & How Appointment times that fit your schedule. Find the eye care professional that s right for you. Choose vision correction that fits your lifestyle. Convenient evening and weekend appointment times available. 53,000 provider access points including: LensCrafters, Sears Optical, Target Optical, JCPenney Optical, and many Pearle Vision locations. No preferred product selections. Glasses or contact lenses. Prescription portability. you want it! 19

20 Step 5 Step 4 Step 3 Step 2 Step 1 How Do I Use My Benefit? Locate a provider at choose the INSIGHT network of providers in the drop-down menu. Search by zip code. Provider information is also available by calling Schedule an appointment. When you arrive, identify yourself as an EyeMed Vision Care member and present your ID card. If you do not have your ID card, the provider can verify your benefits by using your name and date of birth. You will pay the provider applicable copays and surcharges based on the lens & options you have selected. The EyeMed provider will take care of the rest! 20

21 Web. Education. Functionality. Complete support options available anytime. By visiting or logging on to members can: View benefits and learn how to access them Check for eligible services Locate a provider View vision wellness information Download printable ID cards and EOBs Check claim status & next eligible date of service Review LASIK information Order replacement contact lenses Mobile-optimized for on-demand service Check out eyesiteonwellness.com for wellness videos, articles and resources 21

22 Web Innovations Online Exam Scheduling Online exam scheduling now available for participating provider locations Linked directly from the EyeMed provider locator at eyemedvisioncare.com Mobile Web Optimization Locate a provider View ID card View benefits Contact EyeMed Find answers to common questions 22

23 Award-winning Customer Service Extensive service hours: Monday Saturday 7:30 a.m. 11:00 p.m. ET Sunday 11:00 a.m. 8:00 p.m. ET Open days a week 7 Certified Center of Excellence Certified Center of Excellence in 2010, 2011 and 2012 Ranked in the Top 100 call centers by BenchmarkPortal two years in a row* *Source: Benchmark Portal is the custodian of Purdue University's Center for Customer-Driven Quality database, which monitors and tracks call center metrics Superior Call Center Features U.S. call agents Available 362 days a year Translation services; 175 languages Skill-based call routing Extended hours that align with our Provider hours 23

24 Q&A 24