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  1. #1
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    Confused Joining Eyemed

    Our office is going to become an Eyemed provider in the next 30 days. Is anyone willing to share ways to maximze patient benefits in order to make a profit. From what I have been reading all of the plans are deeply discounted making it difficult to profit on eyewear sales.

  2. #2
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    It depends which plans you're going to be a provider for. I'm a provider for the least terrible eyemed plans and they're not too bad (relatively, of course). I, however, am not a provider for the "Select" plans (I believe that's what they're called). Those are the ones that reimburse as low as $30 for an exam and require massive, massive discounts on materials. I don't know how you'd make any profit on those.

  3. #3
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    My office participates in all eyemed plans. The discounts are huge so the profits are small. When you add "options" such as AR the discounts are downright ridiculous. Good luck.

  4. #4
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    Eyemed plans

    We are currently only going to be set up to accept the Access plan and the VSEP plan.

  5. #5
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    The Eyemed plans that we are contracted for are shrinking by the week. Eventually all Eyemed plans will be exclusive to Luxottica. The ones we do take are abysmal to say the least and we won't be sorry to see them go away altogether. However since you are hopping on that wagon I wish you the best of luck as long as it lasts.

  6. #6
    Master OptiBoarder OptiBoard Silver Supporter Jubilee's Avatar
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    There are a few decent ones.. and in some cases if you at least edge in house, you could make better money than some of the other insurances.

    However overall they are HEAVILY discounted. Right now we are reeling from the switchover of a few employers from VSP to Eyemed. In the past they were able to get ANY pal, ANY AR, Transitions, and Poly for 0 dollars. So I put many of these people in Free forms.

    However Eyemed now has the plan. IT was told to this employer (large NATIONAL employer) that their plan and VSP's was the same. Forget the fact we took a $25 drop in the reimbursement for exam, the union members all got upset cause they were charging the usual VSP copays on items they previously got for free. So now the plan is edited again to cover Any PAL (and on certain"premium lenses" I can get up to 80% of U&C) and any ARC (once again Avance is 80% U&C compared to $68 for Alize).. the CL benefit dropped from a previous $175 to $125 with no notice. So I still have members griping at me.

    I am sure it too will be corrected, since the union contract is valid till the end of this year so they _have_ to provide the same level of benefit. But it scares me what we'll end up with next year.
    "Some believe in destiny, and some believe in fate. But I believe that happiness is something we create."-Something More by Sugarland

  7. #7
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    Crier oh -no not eyemed

    Our practice just applied for EyeMed as well, :hammer:
    From the above responses it doesn't sound like much fun or very lucrative.

  8. #8
    Optiboard Professional Bill West's Avatar
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    When asked....

    "do you take insurance"?

    The answer is NO

    I give the same answer for"do you sell contacts".

    No money in it, I ain't doing it.

  9. #9
    Master OptiBoarder optical24/7's Avatar
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    Quote Originally Posted by cocoisland58 View Post
    The Eyemed plans that we are contracted for are shrinking by the week. Eventually all Eyemed plans will be exclusive to Luxottica. The ones we do take are abysmal to say the least and we won't be sorry to see them go away altogether. However since you are hopping on that wagon I wish you the best of luck as long as it lasts.

    You hit the nail on the head. Just as Davis vision said they would never use anything but independents, they up and buy EyeMasters and offer more "value" thru *their* own opticals.

    Why practices feel they must take every insurance out there is beyond me. ( I understand the mentality, just don't agree). They are just feeding the beast so that in can consume them down the road.

    As long as practices keep accepting every Specterrible and Vision Suppression Plan out there, you will continue to see a decline in revenue and thus, a decline in quality care.

  10. #10
    What's up? drk's Avatar
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    Quote Originally Posted by cocoisland58 View Post
    Eventually all Eyemed plans will be exclusive to Luxottica.
    Not if Eyemed has any say in it.

    Picture yourself as an Eyemed saleslady for a moment. In the HR department of GlobalGreenSprockets, Inc., you have to sell your plan and tell the buyer that their employees must go to the mall?

    No, all vision plans want a "mix" of provider types.

  11. #11
    Master OptiBoarder OptiBoard Silver Supporter
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    Quote Originally Posted by drk View Post
    No, all vision plans want a "mix" of provider types.

    I thought Pearle and LC was a "mix" of providers! :hammer:

  12. #12
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    If you get your credentialling through
    NVA (http://nwvisionassociates.com/) you can take the good Eyemed Plans (Access A-H, and Blue Vision) and NOT take the terrible discount plans.

    We do well with Eyemed through NVA.

    Sharpstick

  13. #13
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    Quote Originally Posted by john-atlanta View Post
    I thought Pearle and LC was a "mix" of providers! :hammer:
    Don't forget Sears and Target Opticals....

  14. #14
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    Quote Originally Posted by drk View Post
    Not if Eyemed has any say in it.

    Picture yourself as an Eyemed saleslady for a moment. In the HR department of GlobalGreenSprockets, Inc., you have to sell your plan and tell the buyer that their employees must go to the mall?

    No, all vision plans want a "mix" of provider types.
    Well I would think that would be doubly good for luoutofstockia

    They could end up getting the companies payments for there insurance and then getting them into there stores.

    It would be bad for the private practice. But I am am a humble novice...I may be wrong

  15. #15
    OptiWizard OptiBoard Silver Supporter
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    Eyemed pays better than VSP for the plans I take...

  16. #16
    Master OptiBoarder OptiBoard Silver Supporter Jubilee's Avatar
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    Quote Originally Posted by Matthew View Post
    Eyemed pays better than VSP for the plans I take...
    For materials or exams or both?

    And do you edge inhouse?
    "Some believe in destiny, and some believe in fate. But I believe that happiness is something we create."-Something More by Sugarland

  17. #17
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    So with Eyemed is it better to sell/offer the pt the high end coatings,materials and frames or is it better to do just the basiscs pruducts?????
    I really hate the fact that I just asked that question, its amazing to me how 3rd party ins effects our profession.

  18. #18
    OptiBoard Professional LadyDie's Avatar
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    Quote Originally Posted by midohioeye View Post
    So with Eyemed is it better to sell/offer the pt the high end coatings,materials and frames or is it better to do just the basiscs pruducts?????
    I really hate the fact that I just asked that question, its amazing to me how 3rd party ins effects our profession.
    For any non std coatings or prem prod you only need to take 20% off. So you can do what is best fot pt and make profit,

    sry for poor typing. broke wrist, only one hand. surg 2morrow
    goodsearch.com vosh

  19. #19
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    Sorry to hear about the wrist, its a little hard to be bending on frames one handed. Hope the mending goes quickly and well. Thanks for the info on eyemed

  20. #20
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    Don't Like Eyemed

    Can't stand Eyemed. Never been on it. I saw a friend yesterday who has Eyemed and they will see me out of network and submit the claim for reimbursement to Eyemed. I took a look at his Eyemed Coverage card. As much as Eyemed told its doctors that privet practitioners would be promoted on their website and coverage materials, the back of my buddie's card shaowed large logos for "Lenscrafters", "PearleVision", "Sears Optical", and "Target Optical". The had a logo for "Private Practitioners", but it was in 1/8 point typeset. If you were an uncorrected presbyope (like my friend is), there is NO WAY you would read this !!! :finger::finger::finger::finger::finger::finger::finger::fin ger:

  21. #21
    Bad address email on file stephanie's Avatar
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    Ah but you haven't lived until you have encountered a fine conversation with your helpful eyemed representative....

  22. #22
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    Quote Originally Posted by robbish View Post
    Can't stand Eyemed. Never been on it. I saw a friend yesterday who has Eyemed and they will see me out of network and submit the claim for reimbursement to Eyemed.

    They are cracking down on that too. Many of last years reimbursment plans are now exclusive to Lux owned stores. Once they figured that people would rather be reimbursed than switch to LC, Pearle, etc. they just did away with the option. At one time I could bill out of network and get paid directly. Not this year.

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