In-Network Benefits Use
one of Spectera, Inc.'s retail chain eye care providers
In-Network Provider Access: Call Spectera at
1-800-839-3242 or go online at www.spectera.com
Exam: A complete vision examination
by a participating optometrist or ophthalmologist every 12 month with
a $15 co-pay each year.
Lenses: If prescribed, a pair of
single vision or standard lined multi-focal lenses every 12 months
with a $25 co-pay each year.
Contact Lenses: After a $25 co-pay
each year, Spectera Inc’s
contact lense benefit covers in full the fitting / evaluation fees,
contacts (disposable contacts / up to 4 boxes, depending on the prescription
and plan selected), and up to two follow up visits. A $105 allowance
is applied toward the fitting/evaluation fees and purchase of contact
lenses outside of Spectera, Inc.’s covered-in-full contacts
(materials co-pay does not apply). Toric, gas permeable, and bifocal
contacts are all examples of contacts that are outside of our covered-in-full
selection. Any amount over the allowance is the patient’s responsibility.
Frames: Your choice from a wide selection
of fashionable frames will be covered-in-full every 24 months. The materials
co-pay is a single payment that applies to the entire purchase of eyeglasses
(lenses and frames), or contacts in lieu of eyeglasses. If you select
a frame from outside the covered selection, you will be given a minimum
$130 frame allowance for frames purchased at retail chain providers.
Patient Options: Should you select
items not covered by the program, such as: progressive lenses, tints,
coatings, etc., there will be an additional charge. These charges, however,
are below usual retail costs. (Standard Scratch coating is covered in
full at no cost to the insured).
Monthly
Premium Individual Rates Two year
rate guarantee. Available to individuals by: monthly bank draft or credit
card.
Standard
Premium Rates
Member
$10.50
Member
& One
$16.50
Member
& Family
$23.15
Rates
include a $2 billing fee.
Available
States
AR,
AL, AZ, CA,CO, CT, DC, DE, FL, GA, IA, ID, IL, IN, KS, KY,
LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NJ, NM, NV,
NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WI, WY,
WV
Access to Refractive
Eye Surgery Procedures
The
Laser Vision Network of America
(LVNA), a nationwide network servicing Spectera, Inc. members, is comprised
of more than 300 laser vision providers. The network was established
in 1999 and offers the most extensive geographic coverage in the U.S.
We currently serve over 75 million members through some of the largest
health and vision insurers in the industry.
All
surgeons are credentialed to NCQA recommended standards ensuring the
highest quality in patient care.
By combining LasikPlus Vision Centers with independent
surgeons, members have the broadest choice of laser technology in
the industry.
Our call center is staffed exclusively with LASIK
trained representatives available to assist you 7 days a week.
As a participating
provider in this panel, our surgeons make laser vision correction more
available and affordable to millions of potential patients. Members
and dependents are entitled to one of the following discounts not available
to the general public:
•
15% off "Standard" or "Usual & Customary"
Price
- or -
• 5% off any Promotional Price
Not only
are members given a meaningful discount, but that discount is applied
to prices that are below the national average. See comparison
below:
Average
Prices for LASIK:
National
= $1,700 per eye
LVNA
= $1,560 per eye (prior to discount)
LasikPlus
Vision Centers, which are part of the LVNA = $ 1,300 per eye
(prior to discount)