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Davis Vision Lab Network Provider

Find Affordable Vision Plans With Ehealth A Trusted Partner Of Davis Vision

Davis vision benefit overview 2021

Davis Vision’s mission is to be the leading provider of integrated vision care solutions by offering differentiated products and services that exceed customer expectations. With over 22 million members Davis Vision provides member satisfaction by providing best-in-class value, outstanding service and exceptional quality. For over 50 years, Davis Vision has helped its members find cost-effective care from over 104,000 points of access.

Contact Lenses In Lieu Of Eyeglasses

Some contact lenses in lieu of eyeglasses are also covered in full with a Davis Vision provider. Contact Davis Vision to verify that your brand of contacts is covered before you enroll in the plan. The maximum reimbursement with a non-participating provider is $75.

Check the Davis Vision Provider Listing online at www.davisvision.com for your provider’s level of participation.

  • Standard daily wear soft lens users will receive one pair of lenses.
  • Disposable contact lens wearers will receive four multi-packs of lenses.
  • Planned replacement contact lens wearers receive two multi-packs of lenses.

Routine Vision Programs: Why Offer Them

Annual eye exams and corrective eyewear are essential components to member health. In fact, Americans who have vision coverage are more likely to live a healthier lifestyle. .

Our members have easy access to quality care, through our broad network of eye care professionals in a range of settings from local, independent eye care professionals to large retail optical chains. Ensuring members easy access to quality care with Davis Vision can help drive improvements in HEDIS/Stars scores.

Coverage includes routine eye exams and corrective eyewear, including frames, lenses, and contact lenses. These exams promote early detection and treatment of chronic conditions.

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Davis Vision Offers More Than Just A Vision Plan

Davis Vision serves our communities with dedication and care, providing vision services, food, clothing, toys and emergency provisions.

Examples of Davis Vision commitments include:

  • Davis Visions Focus on America – community outreach delivering eye care to the underserved
  • Davis Visions Sight From America: Over $500,000 in frames donated each year to international vision care outreach programs

Improve Vision Care And Reduce Costs

BCBS FEP Vision by Davis Vision

We expect our eye care professionals to adopt the procedures that lead to be best outcomes.

Davis Visions utilization management program delivers quality care, while driving cost savings and ensuring regulatory compliance.

Our program encompasses:

  • Latest in evidence-based medicine, to assist eye care professionals with care decisions
  • Board-certified ophthalmologists and optometrists on staff, to review requests and ensure members receive quality care
  • Utilization management platform, based on clinical guidelines
  • Quality assurance program

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The Davis Vision Goal Is 100% Satisfaction

Davis Vision achieves administrative and customer service excellence through:

  • Live customer service 7 days a week
  • Dedicated field account management team with years of vision care experience
  • Bi-lingual access 24/7 online and via telephone
  • Industry leading online self-service tools for members.
  • Owning managed vision cares only ISO 9001:2000 lab network that is also COLTS-certified for Prescription Accuracy and FDA Conformance
  • NCQA certified provider credentialing process that ensures the quality of providers through industry leading standards for quality
  • Continually improving upon the nations newest and most modern laboratory system with proprietary lens technology including Crizal®, Varilux®, Zeiss and Transitions®
  • The industrys only unconditional one-year eyeglass breakage warranty

What Eye Care Services Does Davis Vision Cover

Davis Vision covers contact lenses and their fittings, eye glasses, lens treatments and routine eye exams. Depending on your plan you may also have coverage for prescription sunglasses, or discounts on LASIK eye surgeries. Additional benefits include transitional lenses coverage and free breakage warranty. If you have any questions about your coverage, we’re happy to help! Just bring your card into any of our 26 locations or give us a call.

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What You Need To Know

The Sandia vision plan, administered by Davis Vision, helps you see clearly with coverage for routine eye exams, lenses, frames, and contact lenses.

When you need care, you can go in- or out-of-network. However, when you use a Davis Vision in-network provider, you will pay less.

You do not have to enroll in medical coverage to elect vision benefits.

Laser Vision Correction Services

Davis Vision

Davis Vision provides you and your eligible dependents with the opportunity to receive Laser Vision Correction Services at discounts of up to 25% off a participating provider’s normal charges, or 5% off any advertised special . Please check the discount available to you with the participating provider. For more information, visit davisvision.com or call 1-800-999-5431.

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Davis Vision Insurance: At A Glance

Davis Vision Insurance
Discounts available on premium items
Premiums Starting at $6.31 per month

Davis Vision covers a wide range of vision care services. Some of Davis Visions offerings include:

  • Annual eye exams
  • Frames and lenses
  • Contact lenses and fittings

Davis Vision also offers different plan levels, which will affect the benefits you receive. For example, an eye exam will cost you $10 if youre on the standard vision plan, but it will be free if youre on the premium vision plan. As plans are offered through employers, the premiums and services will vary.

Costs will also vary based on whether you choose an in-network or out-of-network provider. For example, you are provided one new pair of frames every other calendar year with no co-payment if you go in-network. Out of network, youll only be reimbursed up to $50 for the frames. In this situation and others, an in-network provider will be the most cost-effective.

If you choose to go to an out-of-network provider, youll pay the provider directly and can then request reimbursement from Davis Vision.

You typically wont be eligible to receive both eyeglasses and contact lenses under your Davis Vision insurance policy. However, they do offer discounts on products after your allowance has been used up.

Davis Vision also offers discounts on products and procedures such as:

How Do I Apply To Become A Davis Vision Eye Care Professional How Long Does The Process Take

If you are interested in joining the Davis Vision network of eye care professionals, please and follow the online instructions.

You may also contact us at 1 584-3140 to request an application. Submit the completed application and all requested paperwork. The process of contracting and credentialing a new eye care professional includes source verification and validation of eye care professional qualifications and are performed on all applications, per Davis Visions NCQA-certified credentialing process. The process of contracting with a new eye care professional is usually completed in 90 days or less.

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Plans For Individuals And Families

We extend quality vision care to individuals and families whose employers do not offer coverage through their benefits programs. Coverage is also available to those who are self-employed or are not currently working. This coverage is offered through our sister product: Superior Vision.

What Is The Credentialing And Recredentialing Process For Network Practitioners

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Davis Visions selection of the most qualified ophthalmologists and optometrists in our network is accomplished through an extensive application and NCQA-certified credentialing process.

Davis Vision collects, validates and submits all documentation, history and quality data for review by the Credentialing Committee. Source verification of education, licensure, board certification and DEA registration is obtained and the National Practitioner Data Bank is queried for all applicants. The Credentialing Committee conducts an assessment of each eye care professionals credentials based upon pre-established guidelines of professional qualifications and office qualifications deemed necessary to provide quality patient care.

The credentialing and recredentialing of eye care professional is ongoing to ensure to quality of care provided by our network eye care professionals. Recredentialing, conducted every three years, is based on a review of updated documentation , as well as reports generated through the patient satisfaction feedback mechanism and Davis Visions Quality Assurance Program, including site visits.

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Vision Plan Coverage And Copays

Coverage under the plan includes oversize lenses, blended invisible bifocals, certain fashion frames and sun tinting of plastic lenses, gradient tints, glass gray #3 prescription sunglasses, and initial lenses following cataract surgery. Materials carry a one-year warranty against breakage. Discounts are available for nonprescription and additional prescription glasses.

The plan covers the following services once each calendar year.

  • Up to $125 on retail frame allowances
  • An additional discount of 20 percent on any overage for frames
  • An additional discount of 15 percent on any overage for contact lenses
  • Access to the Scratch Protection Plan:
  • single vision, $20
  • Access to the Premium Contact Lens Formulary
  • Fully covered medically necessary lenses .
  • What Are The Benefits Of Becoming A Davis Vision Eye Care Professional

    Davis Vision provides vision coverage to over 22 million members throughout the nation, and only the most qualified doctors are members of our preferred eye care professional organization. Joining the Davis Vision network offers an outstanding opportunity to grow your practice by providing vision care services to our members.

    The following benefits and advantages of becoming a Davis Vision eye care professional are designed to improve your profitability and practice in an ever-changing health care environment.

    • Increased patient base
    • Superior quality through state-of-the-art laboratory facilities
    • Deep discounts on ophthalmic materials through the Davis Vision Excel Advantage program
    • Electronic claim submission
    • Eye care professional newsletters
    • Eye care professional recognition program

    To learn more about your network advantage as a Davis Vision eye care professional, please call us at 1 584-3140 , or and follow the online instructions.

    Our vision care plans offer low out-of-pocket costs and access to a large network of eye care professionals.

    • Low-cost options for both you and your employees
    • Over 121,000 nationwide points of access
    • All calls and claims administered in the U.S.
    • Fully-covered frames included with every Davis Vision plan
    • 4 out of 5 major national retailers are in-network
    • 97% member satisfaction with customer service

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    Davis Vision Insurance Review

    Davis Vision is one of the nations largest vision insurance providers, covering eye exams, frames, multiple lens types, and contact lenses. If youre considering LASIK surgery, they also offer a discount for that.

    Many or all of the companies featured provide compensation to LendEDU. These commissions are how we maintain our free service for consumers. Compensation, along with hours of in-depth editorial research, determines where & how companies appear on our site.

    Key Points:

    • Davis Vision insurance offers managed vision care plans
    • Two plan levels, standard and premium
    • A large network with 91,000 access points
    • Discounts on LASIK surgery and hearing aids

    Large network of providers and retail locations

    J.D. Power Overall Satisfaction Ranking 803 out of 1,000 point scale*
    A.M. Best Rating
    Phone support, though they have many complaints about long wait times
    Discounts Available

    Taking care of your vision is crucial, and Davis Vision can help you manage the task. A large managed vision care provider, Davis Vision offers over 91,000 in-network points of access in the U.S. and has over 22 million members across the country. Together with Superior Vision, Davis Vision is an offering from Versant Health, one of the leading managed vision care providers in the U.S.

    Plans for Davis Vision are available through your employer, so premiums and offerings will vary.

    In this review:

    Buy A Voucher Program

    Davis Vision

    You can purchase additional pairs of eyeglasses or contact lenses directly from Davis Vision. To speak with a Davis Vision representative, call 1-800-999-5431. You will hear a prompt to “Enter the member’s ID number.” Your Davis Vision member ID number is your UMID or your Social Security Number. If you don’t know your member ID number, or wish to bypass the menu options, simply do nothing. The prompt will repeat two more times, and when you don’t enter a member ID number after the third prompt your call will be automatically transferred to a Davis Vision representative.

    Ask to purchase a “Buy-A-Voucher.” A Member Service Representative will verify your eligibility and help you with your purchases. Available services and costs are listed below.

    You may charge Buy-A-Voucher services over the phone with your VISA or Mastercard, or send your personal check directly to Davis Vision.

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    Davis Vision Providers Offer A Great Value

    Davis Vision plans offer low out-of-pocket costs with a wide range of paid-in-full options and complete freedom of choice in eyewear! Davis Visions coverages result in:

    • Low member out-of-pocket cost
    • Large array of paid-in-full options
    • Highest use of covered-in-full frame coverage 8 out of 10 members choose a Davis Vision Collection frame!
    • Total member flexibility to:
    • choose any frame at their providers office
    • select the most popular lens options at significant savings

    What Is The Exclusive Collection From Davis Vision

    The Exclusive Collection is a Davis Vision benefit including hundreds of designer eyeglass frames available in provider offices nationwide. The Exclusive Collection include brands like Elizabeth Arden, Jones New York, Perry Ellis, Candie’s and more at a discounted cost while offering free breakage warranty for a year.

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    Davis Vision Has Earned The Following Awards:

    • National Committee for Quality Assurance Certification for Credentialing In July 2004, Davis Vision received the NCQAs Certification in Credentialing and continues to maintain that certification today — one of a select few vision care programs in the entire country to have earned this certification.
    • The Joint Commission Accredited 2001-2007 , Davis Vision was the first vision care PPO to receive accreditation
    • International Organization for Standardization – ISO 9001:2000 Certification: All Davis Visions labs
    • Cooperative Ophthalmic Lens Testing Service, Inc.s Certification for Prescription Accuracy and FDA Conformance : Third party certification and validation of the highest level of prescription accuracy and quality.
    • Essilor of Americas Lab of the Year: 2006, 2007, 2008
    • Varilux Lab of the Year: 2007, 2008
    • URAC Health Web Site Accreditation: Davis Visions member Web site since July 1, 2007
    • Excelsior Award: Recognized as one of New York States highest performing companies as recipient of the Governors Excelsior Quality at Work Award.
    • Long Island Association Medal of Honor Winner

    Eye Care Resources

    Value For Members: Healthy Eyes

    2021 BICSI Fall Conference &  Exhibition

    Davis Vision and providing Davis Vision Doctors offers some of the most competitive and total flexibility in plan design.

    Davis Vision consistently delivers:

    • Low premiums and multi-year rate guarantees
    • Low renewal increases and multi-year rate guarantees
    • Low annual benefit inflation trending at < 2% per year
    • Wellness-focused disease management programs focused on optimal member health

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    What Is The Credentialing And Re

    Superior Vision selects highly-qualified ophthalmologists and optometrists for our network via an extensive application and National Committee for Quality Assurance -certified credentialing process.

    Superior Vision collects, validates, and submits all documentation, history and quality data for review by the Credentialing Committee. Source verification of education, licensure, board certification, and DEA registration is obtained, and the National Practitioner Data Bank is queried for all applicants. The Credentialing Committee conducts an assessment of each eye care professionals credentials, based upon pre-established guidelines of professional qualifications and office qualifications deemed necessary to provide quality patient care.

    The credentialing and recredentialing of eye care professional is ongoing to ensure quality of care provided by our network eye care professionals. Recredentialing, conducted every three years, is based on a review of updated documentation , as well as reports generated through the patient satisfaction feedback mechanism and Superior Visions Quality Assurance Program, including site visits.

    Recruiting efforts may include mailing eye care professional applications and recruitment materials with telephone or email communications. Names and addresses of potential practitioners and eye care professionals may be drawn from, but not limited to, the following sources:

    Davis Vision Chosen As Routine Vision Partner

    To: Ophthalmologists, Optometrists

    Lines of business: Commercial and Medicare Advantage

    Davis Vision has been chosen to serve as our partner for routine vision, glasses and contacts beginning January 1, 2021 for BlueCross BlueShield Commercial and Medicare Advantage patients. Because EyeMed will no longer be our vision partner beginning on January 1, we encourage you to join the Davis Vision provider network so you may continue to serve your BlueCross BlueShield patients.

    Through this partnership, we will be able to offer more comprehensive coverage and ancillary offerings. Routine vision benefits may vary by plan for your BlueCross BlueShield patients. Coverage for problem eye services is considered a medical benefit and will not be managed by Davis Vision.

    Pediatric Exchange Vision Coverage

    One exception to the Davis Vision arrangement is for pediatric patients who are covered by our Individual and Small Group plans purchased through the New York State of Health marketplace or directly through BlueCross BlueShield. These patients will need to see BlueCross BlueShield network vision providers for routine eye exams, and eye care accessories as these benefits are embedded in the medical benefit.

    If you are not currently credentialed with us, please visit our website for credentialing instructions, or call us at or with questions.

    Filing Vision Claims

    You will need to bill the following services directly to BlueCross BlueShield, as they are considered medical benefits:

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    Cost Savings Through Medical Claims Review

    Making sure you got what you paid for, is a part of getting the best vision care.

    Our claims review process is based on nationally-recognized guidelines. Our robust process identifies and mitigates incorrect current procedural terminology coding to reduce health plan spending.

    • Identifies and eliminates reimbursement for unnecessary or duplicative diagnostic procedures
    • Reduces medical spend by eliminating costs associated with inappropriately-billed procedures

    Vision Care Is The Most Impactful Investment In Overall Wellness

    Best Vision Insurance? See the differences between VSP, EyeMed, Spectera, and Davis Vision.

    The risk of blindness can be reduced by 90%, with timely treatment and follow-up care. With Davis Vision, you will always receive quality, affordable eye care from qualified eye care professionals. Scheduling an appointment and understanding your benefits is simple.

    Act preventively and schedule regular comprehensive eye exams. These actions could help maintain and save eye health, as well as cut costs for unnecessary medical expenses. Ensure you are making the best investment in your health, by scheduling a regular eye examination.

    A comprehensive eye health exam can detect a number of eye diseases, as well as signs of systemic conditions such as diabetes, thyroid disease, high blood pressure, and neurological impairments.

    Eye exams allow eye care professionals to take a non-invasive look at the blood vessels in your eye. This can help in the early detection of diseases that affect the entire body, such as diabetes or hypertension.

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