Envolve, through its family of companies, administers tailored managed vision plan services to reduce health plan and member costs while delivering superior vision benefits, including medical surgical vision care.
As a premier vision care plan provider, we offer health plans a competitive edge, by combining leading vision benefit administration expertise with flexible business support solutions.
Envolve vision plan services can be customized to meet the needs of any organization. We can manage as much or as little of your vision plan as necessary, and offer a full range of medical and surgical vision benefit administration services.
Envolve vision plan services offer members eye exams and affordable access to eyewear including frames, prescription lenses and contacts. Our large, managed vision network is comprised of more than 22,000 providers in all 50-states, giving members the power of choice, with both independent providers and popular retail chains in network.
Envolve is a flexible vision care provider with expertise servicing a wide variety of organizations. Our vision plan services are used by:
Envolve vision plans are designed and administered to meet the unique needs of your members. As a leading managed vision care company, Envolve has extensive experience with commercial health plan, Health Insurance Marketplace (HIM) plans, Medicare and Medicaid benefits.
Whether you would like to maintain claims in-house and turn to Envolve for utilization management services or opt for a fully-managed medical and surgical vision benefits plan, Envolve can develop a solution for any organization.
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. Learn more
Envolve employs an "any willing provider" strategy for future network development. We market our vision care services to every licensed vision provider in your service area and are constantly developing our network to offer your members the most comprehensive selection of eye care providers available.
The National Committee for Quality Assurance Certified Vision Care Plan (NCQA) is an independent 501 non-profit organization in the United States that works to improve health care quality through the administration of evidence-based standards, measures, programs and accreditation. Envolve’s Utilization Management and Credentialing programs are proudly NCQA accredited.
Envolve works with vision care plan providers and our health plan partners on new and innovative ways to increase HEDIS and Stars scores. Some examples of our successful efforts include:
The Envolve Vision Van program provides mobile vision screenings for children and adults who might not otherwise receive them and promotes the importance of eye care in the community. As an Envolve client, we’ll bring our nationally recognized mobile vision clinic to you!
Doctors and technicians accompanying the van perform vision screenings free of charge to patients. While we will see adults in the Vision Van and help anyone in need, children (ages 5 – 18) receive top priority for vision van services. Our Vision Van is equipped with:
Since the inception of the Vision Van program in May 2015, we have:
Through the Vision Van program, Envolve is bringing much needed vision services to individuals. These services are very important to us as a company, because:
To learn more about where the Vision Van has been and where it is going, visit our News & Events section.
As your vision care plan provider, we will work aggressively to find ways to help your organization control costs.
Upon partnering with Envolve, we will analyze your historic claims data to locate vision plan abuse and overpayments. We enable clients to maintain network and claim filing functions in-house while working with our Utilization Management department and board-certified ophthalmologists to help control costs.
We can provide full medical surgical vision management, or you can contract and credential your own medical/surgical eye care network and pay claims as usual -- whichever you prefer.
However you design your plan, Envolve will work diligently to manage facility and surgery costs by eliminating unnecessary claim disbursements, while still providing quality vision care services to your members.
Envolve strives to lower the med loss ratio with our state-of-the-art business systems and information technology by employing:
Our experience and expertise in vision benefit administration, flexible plan designs and robust nationwide network help Envolve stand out as a leader among managed vision care companies.