The Avesis Network of Vision Care Providers

Avesis' national network of vision care providers offers its members access to over 11,000 carefully selected, screened and credentialed providers at 8,000 locations. Sixty eight percent (68%) of the network consists of independent providers while the remaining thirty two percent (32%) are retail chain stores.


Whether you are an insured carrier, self-insured company, health care provider or a company who wants to provide benefits for its employees, savings are possible because our network providers agree to provide vision care at negotiated fees.  The network assures savings whether it is used as a Discount Plan (stand-alone product of negotiated or discounted fees) or in conjunction with a self-insured or fully insured product as an in-network Preferred Provider Organization.


Avesis commits to member satisfaction. Participating Optometrists and Ophthalmologists must meet our specific credentialing standards, including licensing, and board status.  Our trained customer service representatives provide answers when you need them.  Furthermore, we monitor and analyze complaints to insure that you and your employees are satisfied.

Advantages of the Avesis National Network of Credentialed Vision Care Providers:

  • Lower out-of-pocket expenses when selecting an in-network provider
  • One of the largest networks of participating Optometrists and Ophthalmologists
  • Freedom to choose a different participating Optometrist or Ophthalmologist for each member of the family
  • Freedom to choose an Optometrist or Ophthalmologist in or out of the network when used with an insured vision benefit plan
  • Toll-free service hotline staffed with skilled professionals

To view a online video on how to use your plan click here.

Download the plan brochure

Download the enrollment form

 Find a provider in your area...

Plan Pricing

  

Plan Benefits

 Advantage Plus Benefit Frequency & Plan Design
.



 Examination Spectacle
Lenses		 Frame Contact
Lenses


 BENEFIT
 FREQUENCY

 12 months 12 months 24 months 12 months


 CO-PAY'S

 $10.00 $10.00 $10.00 na

Advantage Plus Schedule of Benefits
BENEFIT In-Network Out-of-Network

Eye Examination

Covered in full* (Dilation is covered in full based on the following conditions: central vision loss, photopsia, floaters, history of ocular surgery, history of ocular trauma, history of ocular disease high myopia or diabetes. If the following conditions do not apply, members will receive Avesis' Preferred Pricing (20% off retail).) Reimbursed up to $35.00
Spectacle Lenses (pair)
-Standard Single Vision Covered in full * Reimbursed up to $25.00
Standard Bifocal Covered in full * Reimbursed up to $40.00
Standard Trifocal Covered in full * Reimbursed up to $50.00
Standard Lenticular Covered in full * Reimbursed up to $80.00
Progressive Lenses 20% off retail, minus a $50 allowance
Specialty Lenses (pair) 20% off U&C, minus the corresponding standard lens plan payment Corresponding standard lens reimbursement.
Lens Options (tints, coatings, etc.) Preferred Pricing (20% off retail) Reimbursed up to $0.00
Frame $50 wholesale allowance after the co-pay (approx. retail of $100 to $150) Frames at Wal-mart may vary due to their pricing structure. Reimbursed up to $45.00
Contact Lenses (In lieu of frame and spectacle lenses)
Elective $130 allowance * After an Avesis preferred discount (The contact lens allowance may be used all at once or throughout the plan year as needed and may be applied toward contact lenses only or both contact lenses and professional services (fitting fees)). Reimbursed up to $130.00
Medically Necessary Covered in full (in lieu of frame and spectacle lenses) Reimbursed up to $250.00
Laser Vision Correction (Note: Refractive Surgery is an elective procedure and may involve potential risks to patients. Avesis is not responsible for the outcome of any refractive surgery.) Avesis has contracted with Participating Providers to provide significant discounts for Lasik surgery. To locate a participating provider in your area call (888) 314-4619. Reimbursed up to $0.00
Additional Purchase/Items not covered Items not covered under the program and/or additional purchases are available on an unlimited basis at 20% off the retail pricing. Reimbursed up to $0.00