Envolve, through its family of companies, administers a fully customizable managed vision care plan to help reduce both client and member costs while still delivering the highest quality vision benefits available.
Our business solutions and expert industry experience offer our clients a competitive edge when it comes to receiving unparalleled vision benefit administration.
Envolve partners with managed care organizations, health plans, states, and employer groups to design and administer eye care programs to meet the needs of their members. We have experience with Commercial, Medicare, and Medicaid benefits.
Envolve’s vision benefits offerings include eye exams and eyewear options including frames, lenses and contacts. Our managed vision network includes independent providers and popular retail chains. We partner with over 22,000 unique vision benefits providers in all 50 states.
Envolve employs an "any willing provider" strategy for network development. We market to every licensed vision provider in the service area for network participation and are constantly improving the efficiency of our network building systems.
Our vision benefits network features include:
On average, our focused medical/surgical vision care plan services result in a 1.25% reduction in the overall physician services med loss ratio for our clients. Envolve provides appropriate vision benefits care at the right cost at the most effective time.
Our medical/surgical vision benefits plan includes:
Our Utilization Management and Credentialing programs are NCQA certified.
Envolve works with vision care plan providers and our health plan partners on new and innovative ways to increase HEDIS® and Stars scores. Some of our most successful programs include:
“SeeMore,” the Envolve Vision Van, provides screenings for children and adults who might not otherwise receive them, and promotes the importance of eye care. As a client of Envolve, we’ll bring the mobile vision clinic to you! Doctors and technicians accompanying the van perform vision screenings free of charge to patients. While we see adults and help anyone in need, children (ages 5 – 18) are of particular focus for the vision van services.
The mobile vision unit includes:
Since the inception of the SeeMore program in May 2015, we have:
The Vision Van brings needed vision services to individuals. Eye care facts:
To learn more about where the Vision Van has been and where it is going, visit our News & Events section.
Envolve analyzes your claim data to locate vision benefits plan abuse and overpayments. We have the ability to allow the client to maintain claim filing in house and employ our Utilization Management department and board-certified ophthalmologists to control your costs. We work diligently to manage facility and surgery costs by eliminating unnecessary claim disbursements while still providing a quality vision care plan to members.
We strive to lower the med loss ratio with our state-of-the-art business systems and information technology by employing: