While you may be more familiar with our partner Medicaid plans, did you know we also cover members who access vision care through these Medicare and Affordable Care Act health plans?
Ambetter vision benefits for members who opt into a vision plan may include:
*See each state’s plan specifics posted on Eye Health Manager for more details.
Envolve also supports membership for other leading health plans around the US to include:
For information about contracting for additional products with
Envolve, please contact us at envolvevision.com/join.
Medicaid and Medicare members should not be billed for services including fees to cover the costs of Personal Protection Equipment (PPE) such as infection control fee, biohazard fee, miscellaneous fee, etc.
Just like you, Envolve Vision takes the detection, investigation, and prosecution of fraud, waste, and abuse seriously. We perform ongoing claims audits that in some cases may result in taking actions against those providers who, individually or as a practice, commit fraud, waste, or abuse. We make it easier for you to report any fraud-related concerns with a new email address that connects you directly with our Special Investigation Unit (SIU). This new mailbox will be used for fraud-related referrals, SIU inquiries, and provider correspondence.
Please use EBOSIU@envolvehealth.com going forward to make sure your concerns are handled as quickly as possible.
Did you know that as a valued Envolve Vision provider you get preferred pricing from Essilor Labs? Through our mutual partnership arrangement, Envolve Vision providers have full access to excellent laboratory service backed by Essilor’s commitment to meet your needs and help you grow your practice. When you use an Essilor Lab, you will receive low, fixed pricing on many standard lenses, materials, and upgrades. You are also entitled to 32-percent off the Essilor National Price List for any other items ordered. In order to receive the discount, please be sure to:
See the list of participating Essilor Labs under the “Essilor Partnership Forms” section found at visionbenefits.envolvehealth.com/forms.aspx.
Envolve Vision is committed to improving member eye health. People with diabetes are at risk for developing retinopathy. Diabetic retinopathy remains the leading cause of blindness among working-age U.S. adults – even though timely screening and treatment may prevent up to 90 percent of blindness. Screening for retinopathy allows for early detection and management to reduce the risk of vision loss. In support of this commitment, here are some ways our providers can help:
Thank you for all that you do to make member health a priority!
As part of our ongoing commitment to our members and providers, we would like to affirm the following:
Envolve Vision clinical criteria, policies and procedures are available by logging into Eye Health Manager at visionbenefits.envolvehealth.com/logon.aspx. From the Provider Resources drop-down, select Policies and Procedures, and then Utilization Management.
If you do not have access to Eye Health Manager, register for access at envolvevision.com/requestaccess.
For more than 30 years, Envolve Vision has partnered with vision care providers across the country to administer eye care programs that meet the needs of their members. You are among 22,000+ unique eye care providers, including independent providers and popular retail chains, within our network. Thank you for partnering with us to provide quality vision services to your patients.