First,
Why Vision Care is Important
Health care benefits rank
eye care number one on the list of effective retention initiatives, and vision
consistently ranks as the most important sense. So, it's only logical that
every benefit package should include quality eye care coverage. The following
eye health statistics will help you illustrate to your clients the importance
of an eye care benefit that promotes good vision:
- Over 75% of the U.S.
population between age 25 and 64 require some form of vision correction.
- Visual impairment is
one of the 10 most frequent causes of disability in America.
- Two-thirds of employees
would trade a vacation day for eye care benefits.
- Regular and thorough
eye exams can sometimes detect serious illness, such as diabetes or high
blood pressure, and may curb healthcare costs later on.
- 1,000 eye injuries
occur in the workplace daily and cost businesses more than $300 million
per year in lost production time, medical expenses and worker's compensation.
- A recent study found
that blurred vision causes more hardship in people's daily lives than a
history of major illness such as diabetes, high blood pressure and heart
attack.
Click here to go to Eyefinity,
one of the best consumer resources for vision care on the Web! Or, click here
to enter All About
Vision, a vision care portal with terrific links and other consumer resources.
Plan
Options to Fit Needs
When arranging vision
plans there are numerous options available to satisfy the needs of the plan
sponsor and member. Plan designs are offered as employer paid, employee paid
and self-funded. The minimum number of covered employees for employer paid
plans will vary from state to state depending on the state insurance laws
for small group legislation as well as the carrier selected. For voluntary
plans most carriers look for a minimum group size of at least 50-100 eligible
employees with a minimum participation level ranging from 20%-25%.
Frequencies
of Benefits
Vision care plans typically
offer benefits under any number of frequency schedules. The key difference
in these schedules is the interval when services are available. The following
outlines some typical timetables for benefits (for, conceptually, three different
"plans"). Other variations of frequencies are available.
| Type of Service |
Basic Plan |
Standard Plan |
Premium Plan |
| Eye examination |
Every 24 months |
Every 12 months |
Every 12 months |
| Lenses |
Every 24 months |
Every 12 months |
Every 12 months |
| Frames |
Every 24 months |
Every 24 months |
Every 12 months |
| Contact lenses |
Every 24 months |
Every 12 months |
Every 12 months |
Special Note: Plans
may be written as "Materials Only", excluding the eye exam, or "Exam
Only", excluding the materials.
In-Network
and Non-Network Services
Depending on the carrier
selected, benefits may be available from both in-network and non-network providers.
The reimbursement levels for non-network benefits will vary by state and by
carrier.
Vision
plan providers that we represent
The following
is a list of the provider network search pages for the vision plans that we
work with:
How
to Obtain a Proposal
To receive a quote, please
provide as much of the following information as possible:
- Name of company, address
and phone number
- SIC code or type of
industry
- Requested effective
date
- Census information
consisting of age or date of birth, gender, dependent status
- Geographical locations
of employees (Zip Codes)
- Prior vision coverage
plan design, rates and years covered
- Proposed vision plan
design(s)
- Employer contribution
level for employees and dependents
- Current vision plan
participation level for employees and dependents
- Claims history and
experience
The above information
may be emailed or faxed to (847) 669-4808.
Contact
Us
If you would like more
information about vision care benefits, please contact us at 888-669-4883,
or email us at info@benico.com.