An Overview

The Delaware Valley Health Care Coalition (DVHCC) began it's relationship with National Vision Administrators (NVA) in January 1999.  NVA is one of the largest, fastest growing administrators of managed vision plans in the United States.  NVA has been administering vision services for 20 years.  Participation in this program has been very successful and has continued to grow.   More than 44,500 lives are currently obtaining benefits through the DVHCC

Why A Vision Plan

Reasons for Vision Popularity

• Eye disorders are the second most prevalent chronic health problem in America
• 155 million Americans (60%) need some form of eyewear...fewer than 93 million get them
• 90% of Americans between the ages of 45-60 utilize some form of eyewear
  (Source:  20/20's Managed Vision Care Report)

Features of a Vision Benefit

• Inexpensive
• Defined Benefit
  No over utilization
• Inflation Resistant
  Has not increased over the last 5 years
• Increases Productivity
• Reduces Absenteeism
• Preventative Early Detection of Significant Health Problems

 Carrying Out the Vision Benefit

Motives

• Aging population - Baby-boomers turn 50 causing a big surge in need
• Increased use of Computers/TV Monitors - Computer Vision Syndrome costs Employers and Workers two billion dollars per year
• Offering quality health care benefits is crucial to retaining top employees or members
• Trade publications in the benefits industry recommend adding vision care benefits
• Highly valued yet surprisingly affordable
• Entire families can take advantage of vision services for a relatively low cost

Main Concerns

• Access to Services
• Quality of Services
• Cost of Services
• Customer Satisfaction

Why NVA for your Vision Plan ?

• Over 20 years experience
• Flexibility in Plan Design
• Extensive Provider Panel of Ophthalmologists, Optometrists and Opticians - 11,000 throughout the US (over 1800 in PA alone)
• Cost effective for DVHCC members
• Highest level of Quality Assurance & Customer Service
• Effective Administration
• Eligibility Verification through the IVR System
• Internet access for provider network
• Toll-free Numbers
• Paperless - No Claims to File
• Highly Trained Staff
• Quality Assurance Program
• Dedicated Service Team

Plan Design

Funded Managed Plans - custom designed

Paid in Full Benefits
Eye Exam every 12 or 24 months
Glaucoma Test
Lenses for Glasses
Limit on all Out-Of-Pocket Expenses
Frame Allowance
Network provider frames discounted to wholesale price
Allowance for Contact Lenses

Opti-Vision - Discount plan

Discount exam and eyewear program - Receive (up to 50%) on eyewear and eye care services from National Panel Provider
Easy to use - no claim forms
Personalized ID card  - embossed with names of all eligible dependents
Same network as Managed Care Plan
Not limited on frequency of use (except disposable contact lenses)

Hybrid Plan - funded exam/discount hardware

Lasik Program - Discount program through a national network of providers

Mail Order Contact Lens Program - Included into any benefit package as an enhancement

Safety Glass Program - Offered through Philadelphia Eyeglass Labs on a regional basis.

Quality Assurance Program

• Ensures that patients have easy access to quality providers
• Receive appropriate services
• Concerns resolved quickly
• Strict standards for provider enrollment
• Tight controls over panel performance
• On-site reviews conducted periodically
• On-going audits conducted
• NVA surveys 10% of patients receiving services

Management Reporting

• Clients receive Monthly Reports
• NVA provides complete picture of claim utilization costs
• Valid Service Reports
• Services summarized by member
• Explanation of vision benefits at year end

For more information like this, customer service information or access to the vision provider locator please go to NVA's website: www.e-npa.com