state of tennessee...who is davis vision? 22 million members covered over 63,000 points of access...
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STATE OF TENNESSEE 2018 Vis ion Benef i ts
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Our History….Your Story
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Who is Davis Vision?
22 Million Members Covered
Over 63,000 Points of Access Nationwide
510 TN providers with 1,634 points of access
Live customer service 7 days / week
97% member satisfaction with customer service
24/7 access via web portal online
Our U.S.-based
service center, state-
of-the-art labs, claims
administration and
print vendors all
reside on American
soil.
745+ Visionworks Locations, 27 in Tennessee
4 State of the Art Laboratories
Exclusive Frame Collection with 200+ Frames
STRENGTH
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The You Need
The Vision Council “Consumer Barometer” – September 2014
Access
• 100% urban/suburban access
with average of 5 providers
within 2 miles (2 in 10 standard)
• 98% rural access with
average of 5 providers within
10 miles (1 in 20 standard)
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Functional and classic designs for the whole
family from brands like:
Features include Low cost frame options including some at $0 copay
Try-on tool online
Free one-year breakage warranty
More than half
our members
choose from
the Exclusive
Collection
when they can!
Available at independent provider offices nationwide
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BRANDS INCLUDE
On average 2,022 frame choices at Visionworks stores Free Frames ($0 Copay) at Visionworks1 under both the Basic Plan and Expanded Plan 745+ Visionworks locations nationwide; 27 in Tennessee
1. Free Frame at Visionworks excludes Maui Jim eyewear
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Benefit Plan Highlights
IN-NETWORK BENEFITS 2018 Basic Plan 2018 Expanded Plan
Frequency - (Exam / Lens / Frame)
Copayments - (Exam / Standard Lens) - Retinal Imaging
$0 / $0
$39
$10 / $0
$39 Frame - Allowance - Collection (Fashion / Designer / Premier)
- Visionworks (excluding Maui Jim eyewear)
80% of balance over $55 $0 / $15 / $40
$0
80% of balance over $150 $0 / $0 / $0
$0 Covered Lens Options (Plastic)
Single/ Bi/ Tri, Lenticular, Oversize, Scratch, Kids Poly
Single/ Bi/ Tri, Lenticular, Oversize, Scratch, Kids Poly
Contacts - Conventional / Disposable - Visually Required
80% of balance over $55 80% of balance over $155
80% of balance over $140 $0
Contact Lens Fitting Fee - Standard / Specialty
80% of charge $50 / $60
Monthly Rates - Employee Only - Employee + Child(ren) - Employee + Spouse - Employee + Family
$3.07 $6.13 $5.82 $9.01
$5.56 $11.12 $10.57 $16.35
COVERAGE
Every Year
Every Year
Every Other Year
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Eyeglasses Lenses & Coatings LENS TYPE / COATING LENS OPTION DESCRIPTION MEMBER COST
BASIC PLAN MEMBER COST
EXPANDED PLAN
Clear Plastic Lenses (all ranges of prescriptions & sizes)
Standard plastic material in single vision and lined bifocal or trifocal lens prescription $0 $0
Oversized Lenses Larger lenses for bigger frames $0 $0
Tinting of Plastic Lenses Gradient or solid lens tinting in various colors 80% of charge up to $15 $15
Scratch Resistant Coating Reduces risk of scratches $0 $0
Polycarbonate Lenses (children / adults) Impact / shatter resistant lenses $0 / 80% of charge up to $35 $0 / $30
Ultraviolet Coating Provides protection from UVA / UVB rays 80% of charge up to $15 $10
Anti-Reflective (AR) Coating Standard / Premium / Ultra / Tier 4
Reduces internal & external reflection / easy to clean and more impact resistant / virtual elimination of reflections and glare
80% of charge up to $40 / $55 / $69 $40 / $55 / $69 / $69
Progressives Standard / Premium / Ultra / Tier 4
No-line bifocal / wider field of view in distance and reading / exceptional comfort and enhanced visual clarity
80% of charge over $55, not to exceed $65 / $105 / $140 $50 / $90 / $140 / $140
High-Index Lenses Thinner and lighter lenses 80% of charge up to $60 $60
Polarized Lenses Sunglass lenses that also reduce glare 80% of charge up to $75 80% of charge up to $75
Plastic Photochromic Lenses (Transitions® Signature™) Lenses that darken in the sunlight 80% of charge up to $70 80% of charge up to $70
Scratch Protection Plan (Single-Vision / Multifocal) Scratched lens replacement coverage $20 / $40 $20 / $40
FIXED PRICING
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Additional Services
• Free hearing consultation
• 3-year extended warranty & 1-year supply of batteries
• $495 for basic hearing aid technology (usually $1,400-$1,600)
1 (844) 246-0544 epichearing.com/davisvision
• Largest NCQA credentialed network of LASIK eye surgeons in the United States
• 900+ locations nationwide
• 85% of retail; 95% of promotional pricing
1 (855) 502-2020
lasik.qualsight.com
• Industry’s only FREE breakage warranty
• Covers all glasses
fabricated in our labs • 12-month warranty
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Davis Vision Customer Service
Monday – Friday 7:00 am – 10:00 pm CST Saturday 8:00 am – 3:00 pm CST Sunday 11:00 pm – 3:00 pm CST
Davisvision.com/StateofTN
24/7 Access via Web Portal Online
1-800-208-6404
300+ customer service representatives
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Lowest out-of-pocket experience
The right network Freedom to choose Best value
