Medical/Surgical Vision Benefits Plans

Envolve offers various levels of administration for medical and surgical eye care services.

With Envolve medical and surgical vision benefits, we allow clients to maintain network and claim filing functions in-house while employing our utilization management processes and on-staff board-certified ophthalmologists for consultation & peer review to control costs.

Alternatively, Envolve provides full medical and surgical vision administration including an ophthalmological network.

Whichever solution you choose, Envolve Vision is committed to providing the appropriate medical eye care at the right cost.

Client Benefits Provided by Envolve Medical/Surgical Vision Care Plans

On average, medical surgical vision benefits from Envolve result in a 1.25% reduction in the overall physician services med loss ratio for our clients. Along with this, Envolve Vision provides:

  • Board-Certified Ophthalmologists and Optometrists on staff for consultation and peer review
  • Guidelines using the latest in evidence-based medicine to assist providers in making decisions about appropriate care
  • Limited pre-certification for the most over-utilized procedures to minimize interference between member and provider
  • Claim edits for frequently abused codes
  • Retrospective review via data analytics and focused record review to improve cost and care

Partner with Envolve for Surgical Vision Benefits

Envolve offers a large medical/surgical vision network designed to meet the varying needs of your members. To learn more about medical/surgical vision benefits through Envolve, contact us today.

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