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Our Solution

With EyeMed, you have access to a vision specific benefits solution focused on simplifying the experience for your members and customers.

We believe in partnerships. We bring our specialization in eye care to support you advancing the well-being of your members. Our goal is to deliver a differentiated vision offering that is easy to implement, administer and integrate into any existing plan or solution.

Our solution, informed by 35+ years in the market delivers:

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Broad Direct Pay Optical Networks

We build and maintain direct pay networks in partnership with leading retailers and independent providers; ensuring convenient access for your members:

  • Direct Pay: Members will only pay their out-of-pocket after the benefit is applied with a more paperless and simpler experience.
  • The Right Mix: We partner with quality independents and some of the leading retailers across Europe.
  • Accessible: With our partnerships across the optical landscape, we guarantee coverage at a national scale for your specific members or employees.
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Vision Care Specific Platform

We have a flexible and secure platform equipped to manage a wide variety of benefits and designed to ensure accurate and appropriate administration of vision-specific claims; our platform delivers:

  • Flexibility to support new or existing products for eye care.
  • Security and processes aligned to GDPR and ISO standards.
  • Extensive controls including pre-authorization, documentation review (prescriptions, invoices) and post-utilization analytics to identify anomalies.
  • Comprehensive programs to ensure accurate and appropriate administration.
  • How We Control:

    ✓ Before – Vision-specific training for claims staff
    ✓ During – Real-time benefit eligibility check, Purchase price validation, Rx and document validation
    ✓ After – Ongoing trend analysis, Outlier detection, Random Audits
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Empowering Vision-Care Specific Member Tools

We deliver digital tools to help your members better understand their vision care and to help them find and access quality affordable care:

  • White-label member application with benefits information, a provider locator, and education for members.
  • Seamless integration via single sign-on.
  • Enhanced offerings, which take the vision care benefits that much further.
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Collaborative Approach

We understand the importance of making implementations easy and provide flexible guided options for integration that include:

  • An Implementation approach that provides an easy, hands-free experience with a level of flexibility that allows our clients and partners to be as involved as they want to be.
  • An Account Management model that is there to support you with any questions or any urgent needs that may come up.