Presentation is loading. Please wait.

Presentation is loading. Please wait.

Group benefits health plan Plan year: January – December 2020

Similar presentations


Presentation on theme: "Group benefits health plan Plan year: January – December 2020"— Presentation transcript:

1 Group benefits health plan Plan year: January – December 2020
The State of New Mexico Group benefits health plan Plan year: January – December 2020

2 An overview of your in-network benefits
Member cost Frequency by month (Exam / Lens / Frame) 12 / 12 / 24 Copayment (Exam / Lens) $10 / $15 Frame Allowance Visionworks Collection (Fashion / Designer / Premier) $ % off overage2 $ % off overage2 Covered in full Covered lens options Single-vision, lined bifocal, trifocal, lenticular, oversized, tint, scratch-resistant, kids poly Contacts3 (in lieu of glasses) Medically necessary Collection (Disposable / Planned replacement) $150 allowance + 15% off overage2 Covered Contacts fitting fee3 (in lieu of glasses) Standard & specialty Collection $60 allowance + 15% off overage2

3 Covered frames for the whole family
Here’s what members get with the Exclusive Collection of Frames More than half our members choose from the Exclusive Collection when they can. Fully-covered frames available One-year warranty on broken eyewear (frames or lenses) Available at nearly 9,000 independent eye care professional offices nationwide Functional and classic designs for all ages

4 Contact lenses for members
A covered alternative to eyeglasses Your plan provides a variety of contact lens brands as covered. Available at participating in-network eye care professionals. For non-Collection Contacts, use your $150 allowance plus 15% off the overage. 1-day Acuvue® Moist® Acuvue® 2 Acuvue® Oasys® Biofinity® Avaira Vitality™ Toric Acuvue® Oasys® for Astigmatism Acuvue® Oasys® for Presbyopia Available contact lenses

5 Enhanced Visionworks frame allowance
Davis Vision members can receive savings of up to 50% off additional materials at Visionworks locations Visionworks is the largest US-owned specialty optical retail chain (700+ retail optical stores nationally) Many Visionworks locations have on-site labs that can offer same-day service High quality brands include: Visionworks stores have thousands of frames to choose from.

6 Savings and resources for members
Accidents happen, and we have them covered. All glasses covered by a plan come with a free one-year breakage warranty. Get a free LASIK consultation from nearly 1,000 locations nationwide2. Save up to 50% off the national average. 50% off 2nd pair of glasses at Visionworks, 30% off 2nd pair at another in-network location or an enhanced VW allowance1. Encourage a spirit of wellness with our Fit Fwd offering, featuring calculators to estimate savings and much more. Member Support & Digital Offerings (Print & Digital Use) At Visionworks, members always receive 50% off 2nd pair of glasses, 30% elsewhere in-network (same transaction) Davis Vision offers fixed pricing on lenses so members pay the same regardless of where they go in-network. Davisvisioncontacts.com is a convenient way to order a 2nd pair of contacts, or replacement after the benefit has been used. Free one-year breakage warranty (industry’s only) We take pride in providing members with quality vision care choices that fit their lifestyle needs. Laser vision correction (LASIK) is a procedure that can reduce or eliminate your dependence on glasses or contact lenses. This corrective service is available to you and your eligible dependents at a special discount with your Davis Vision plan. Your Hearing Network is dedicated to providing clients and families with quality affordable hearing care. Through Davis Vision, you have access to a network of licensed hearing professionals in all 50 states with 40% off national average selling prices of hearing aid equipment. YHN offers access to major brands and styles of hearing aids backed by a 4-yr manufacturer warranty, 4-yr battery supply, 1-yr of free follow-up care and 60-day satisfaction guarantee. Your Hearing Network Discount Program Hearing Aid savings of 40% national average selling prices National network of licensed hearing providers Pre-negotiated and pre-set pricing; no hidden charges All levels of technology available Four-year extended warranty included One-year supply of batteries, delivered to patient’s home Toll-free telephone support through the entire process LASIK Discount Services Over 900 locations to choose from across our nationwide network of LASIK providers Our credentialed surgeons have collectively performed more than 6.5 million procedures Significant savings including 40% - 50% OFF the national average price of traditional LASIK Save on hearing aids, warranties and batteries with special discounts from Your Hearing Network. Use cool resources such as the Vision Loss Simulator, frame try-on tool, personal risk calculator, and member blog.

7 An in-depth look at your lens options and coatings
Member cost Plastic lenses (all ranges of prescriptions / sizes) Covered Oversized lenses Tinting of plastic lenses Scratch-resistant coating Polycarbonate lenses2 $0 / $30 Ultraviolet coating $12 Standard anti-reflective (AR) coating $35 Standard progressives $50 High-index lenses $55 Plastic photochromic lenses (Transitions®) $65 Scratch protection plan (single vision / multifocal) $20 / $40

8 Simple pricing helps to keep more money in employees’ pockets
Adding it all up Simple pricing helps to keep more money in employees’ pockets Exam and eyewear1 Avg. retail out-of-pocket Out out-of-pocket Eye exam $103 $10 Glasses2 $195 Covered Premium progressive lens $247 $90 1-year breakage warranty $30 FREE Total out-of-pocket $575 $100 Because of our integrated, end-to-end supply chain, the Davis Vision solution is the only one built for optimum savings, quality and value. NOTE: The cost comparison is a standard transaction; Prices shown represent average purchase price So now let’s look at the math. Because of our integrated, end-to-end supply chain, the Davis Vision solution is the only one built for optimum savings, quality and value.

9 How we support our members
Members come first with Davis Vision Mobile-friendly website with provider finder, access to customer portals and interactive content. Member welcome kit with ID cards and provider lists. Supports OE events and benefit fairs. Calculators and tools to see the value of a vision benefit for clients and members. Plus, white papers, videos and more. Mobile-friendly customer portals with plan details, form and surveys. And, fully-featured iOS and Android apps. “You don’t need a digital strategy- you need a business strategy for the digital age.” Judy Goldberg, SONY PICTURES Davisvision.com allows current and prospective members to view plan benefits and available products via a secure Client login; all the user needs is their employer group’s Client Code. The site features a public provider search, vision reference library, frame try-on and FAQs. We believe in immediate customer care and environmentally-friendly practices, which is why we have a renewed focus on our website - simplifying the site experience, improving searchability and intuitive navigation, deploying rich media content for improved user engagement and expanding the breadth of our information to better serve the needs of our customers. And it’s fully-accessible through the Davis Vision mobile app for iOS and Android devices. Similarly, our secure customer web portals are the key interface we maintain with our clients and members; it is where they actively seek information from us as a service provider. In 2017, all customer portals will be fully mobile-responsive, to meet the rapidly growing consumer demand for information access on tablets and smartphones, and will be updated in design for improved navigation, user-friendliness and access to benefit details…digitally, not print! In addition to these improved web experiences, Davis Vision is also launching two education calculators with its new wellness initiative at Fit Fwd provides companies with tools and resources to foster health and wellness among employees or enhance existing wellness programs. The digital initiative includes a Fit Kit of content ready for download, a Vision Plan ROI Estimator tool to calculate the potential savings from investing in a premium vision plan and the Sight on Savings Calculator tool to calculate personal risk for diseases that can be detected with an eye exam. We understand every client is unique and we’re here to support you as you need. We offer a wide-range of member materials including Member Welcome Kits (which include an ID card and local provider listing), Open Enrollment materials, on-site support at benefit / health fairs (if over 1,000 lives), cultural training on your employee-base so we know your exact needs. We are proud of our 98% member satisfaction with customer service. We have over 300 customer service representatives available 7 days/wk so you can count on member support any day of the week! We are on all major social channels – be sure to like us on facebook and follow us on Twitter! Also coming in 2017, our members will be able to use their vision benefits as they shop online for glasses and contacts at Visionworks and the Davis Vision Exclusive Collection. Both options will feature an assortment of eyewear and contact lenses, enhanced frame try-on tools, lens options that are easy to understand, and cart options that present the user with the best out of pocket experience possible. Plus! Online appointment scheduling is available at visionworks.com, as well as in-store pickup and complimentary adjustments. Our US-based customer care center is just a quick phone call away and is available 7 days per week

10 Full-featured mobile app and portals
App feature* Davis Vision Large national carrier 1 Large national carrier 2 Member ID card Benefit description and eligibility In-network provider finder Tools for mobile use Available for iOS and Android Provider search filters Integrated maps and directions LASIK provider finder Out-of-network claim submission Vision health resources Simple user interface and navigation Badge alerts Fingerprint login Provider Location Search - Easily find an eye care provider based on your current location, ZIP/city or search by name. ID Card - Need your member information? Find it and personalize it with your photo (optional).   Eligibility & Benefits - Quickly check your current or future eligibility status. Need a little more detail? You can also review your benefit. Claims & Status - Review your current claims and history. Plus, upload a photo of your receipt to easily submit an out-of-network claim. Tools & Resources - Be sight-savvy with these calculators, a frame try-on tool, a vision reference library and more.    If you have the old app, please delete it, and install the new Davis Vision Member App on your device. Then, log in with the same username and password you use to access your account online, or register in the app. Members can also access their account online.

11 Eyewear options for the whole family
With the Exclusive Collection, members may receive fully-covered frames of up to $195 in value. Frames include a 1-year breakage warranty. Members who need contact lenses have the option of selecting from the Exclusive Collection of contacts, which features top brands. Members can buy glasses and contacts online using their benefit at visionworks.com. Source: _Lunch_&_Learn_Deck_FINAL_ pptx - \\ad.davisvision.com\users\TX\BSweet\Projects\146. DV Broker Lunch & Learn Deck You have 3 ways to save when shopping for frames: 1) the Exclusive Collection, 2) Visionworks, or 3) use your allowance at any in-network location (+20% off overage!). 1) The Davis Vision Exclusive Collection Free 1-Yr Breakage Warranty Available at nearly 9,000 independent provider locations across the U.S. Over 200 brand-name frames Log in to member account to browse styles Fixed pricing on all lens options so you aren’t left guessing at the time of your purchase 2) Visionworks Enhanced Frame Allowance - $180 Frame Allowance Over 745 locations nationwide with an average of 2,000 frames per store A $180 allowance would cover over 80% of Visionworks’ frames in full! 3) $130 Frame Allowance at any other in-network location Over 60,000 points of access including both retail and independent provider locations Use your full retail allowance at all providers including both retail and independent provider locations PLUS 20% off any additional overage on price after allowance is used All eyeglasses come with a breakage warranty for repair or replacement of the frame and/or lenses for a period of one year from the date of delivery.  The one-year breakage warranty applies to all plan-covered eyeglasses (i.e., all spectacle lenses, Davis Vision Exclusive Collection frames and national retailer frames, where our Exclusive Collection is not displayed). ========== NON-Collection Contact lens information: FITTING FEES Standard – FREE Specialty – $60 allowance and 15% off overage MATERIALS $130 retail allowance and 15% off overage

12 Visit: davisvision.com/member
Join us online Benefit summaries Provider locator Explore the Exclusive Collection of frames Spanish language version available Brief educational videos Frame try-on tool Visit: davisvision.com/member Use your client code: 7468 Or, give us a call Live support (Mountain Time): Monday – Friday 6 a.m. – 9 p.m Saturday 7 a.m. – 2 p.m. Sunday 10 a.m. – 2 p.m. Automated service available 24/7 1 (800) Use your client code: 7468 Have questions? We have answers!

13 Wrap-up and Q&A

14 DV-MKG v001 PPT 09/2019


Download ppt "Group benefits health plan Plan year: January – December 2020"

Similar presentations


Ads by Google