confidential notice: this document contains privileged information and is for the sole use of the...

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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 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

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Page 1: Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to

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

Page 2: Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to

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!

Page 3: Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to

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 examsFrom 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 eyes1, 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.

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Page 4: Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to

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)

Page 5: Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to

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.

5

We give our members options

FASHIONFUNCTION

ECONOMIC

PREMIUM

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

…no matter what, we have you covered!

Retail20%

Inde-pendent

80%

Page 6: Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to

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…

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

Page 7: Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to

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 designFeature

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-UpPremium Contact Lens Fit & Follow-Up

Covered in full10% off Retail, then apply $40 allowance

$40$40

Retinal Imaging Up to $39 N/A

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

Up to $90

Standard Plastic Lenses:Single VisionBifocalTrifocalLenticularStandard ProgressivePremium 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 $50Up to $70

Up to $100Up to $100Up to $70Up to $70

Contact Lenses (in lieu of eyeglass lenses):ConventionalDisposableMedically 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 $150Up to $150Up to $210

FrequencyExamLenses or Contact LensesFrame

Once every 12 months per plan yearOnce every 12 months per plan yearOnce every 24 months per plan year

Page 8: Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to

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 detailsCovered in full: scratch coating , standard progressive lenses & polycarbonate lenses for children. Additional benefits include:

Premium Progressive Lenses: $35-$60 copayTint (Solid or Gradient):$15 copayUV Coating:$15 copayPolycarbonate- Adult: $40

copayStandard Anti-Reflective: $45

copayPremium Anti-Reflective: $57-$68

copayTransition:$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

Page 9: Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to

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 benefitN

etw

ork

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!

Page 10: Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to

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 benefitS

tep

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.

Ste

p 2

• Schedule an appointment by either calling the provider directly or scheduling online* at eyemed.com *(select locations available)

Ste

p 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.

Ste

p 4

• You pay the provider applicable copays & surcharges based on the lens options you have selected and the provider does the rest!

Page 11: Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to

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

eyemed.com

benefit summary

open enrollment

welcome packet

Page 12: Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to

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

362days a year, we’re here

Monday – Saturday: 6:30 – 10 p.m. CTSunday: 10 – 7 p.m. CT

99.5%1st call resolution rate

15sec. 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.

Page 13: Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to

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.

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

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

Page 14: Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to

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?