Flexible Managed Vision Care

Partner with Envolve Benefit Options for Vision Benefits

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. 

Comprehensive Vision Benefits for Members

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 and Puerto Rico, giving members the power of choice, with both independent providers and popular retail chains in network.

Routine Vision Plan Services

Envolve is a flexible vision care provider with expertise servicing a wide variety of organizations. Our vision plan services are used by:

  • Managed care organizations and MSOs
  • Health Plans
  • States
  • Employer Groups
  • And more!

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, Medicaid, Duel Eligible benefits.

Continual Growth of Our Vision Provider Network

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.

Envolve is NCQA Accredited

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 Helps Improve HEDIS Measures

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:

  • Making outreach calls from our call center to diabetic members who are non-compliant for the DRE measure to assist them with scheduling their eye exam. Our representatives use a pre-approved script and our call center has over a 98% effectiveness rate in exams scheduled.
  • Coordinating transportation services for members to assist them in getting to their eye care appointment.
  • Working with providers to follow up with diabetic members they have seen in the past to schedule their diabetic retinal exam.
  • Reminding providers through unique technology included in our web portal to bill the 3072F code at the point of checking eligibility and during the claim filing process. Envolve increased filing of 3072F by 1000% in some cases. HEDIS/Stars credit can be obtained via this administrative data.

The Envolve Vision Van

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:

  • Screening tools to test vision outside the van
  • Equipment to perform basic vision exams inside the van
  • Informational handouts about eye health and the importance of eye exams

Since the inception of the Vision Van program in May 2015, we have:

  • Traveled to more than 20 states
  • Performed more than 12,000 screenings 
  • Distributed more than 3,700 pairs of RX glasses at no cost
  • Distributed more than 4,000 pairs of reading glasses at no cost
  • Provided aid to displaced residents during natural disasters like recent hurricanes in Texas and Puerto Rico

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:

  • 4.3 billion people in the world need visual correction, and 2.4 billion people do not receive it
  • Somewhere in the world, someone goes blind every five seconds
  • By age 65, one in three Americans has some form of vision-impairing eye disease
  • People with diabetes are 25 times more likely to become blind than people without diabetes
  • Nearly three million people have glaucoma, but half do not realize it because there are often no warning symptoms

Cost Savings Through Envolve’s Managed Vision Services

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 historical claims data to identify vision plan abuse and overpayments.We then offer solutions customized to your specific needs.  However you design your plan, Envolve will work diligently to manage 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:

  • Evidence-based medicine
  • Claim accumulators for frequently abused codes
  • Retrospective review via data analytics and focused record review
  • Provider profiles and trend analysis to compare practice patterns
  • Board-certified medical director

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.

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