Request a proposal
Select the options your client needs from our plan variables.
Broker resources
You can easily access your account anytime.
Get appointed
Registered producers may download the appropriate licensing appointment packet.
Download group applications
Registered producers may download group applications.
Print brochures
Download our marketing and sales collateral.
Look for providers
Search for a dental or vision provider.
FAQs
Plans and services
What is your minimum group size?
A stand-alone vision or dental plan requires a minimum group size of two employees for employer-paid programs and has a minimum requirement of 10 eligible employees for voluntary plan offerings.
How many plans do you offer?
Avēsis offers a wide range of dental and vision plans that will meet most client group needs. We also offer flexibility to tailor a plan to the precise specification of virtually any group in terms of desired benefit frequency, copayments, and plan coverages.
Do you offer a Materials Only program?
Avēsis offers a Materials Only eyewear plan to groups that have an embedded eye examination fully covered by their health plan. Our Materials Only plan complements eye exam coverage, thus ensuring comprehensive care and service for members.
What are your rate guarantees?
Rate guarantees vary depending on a particular group’s policy, qualifications, and requirements. However, Avēsis typically offers a two- or three-year rate guarantee.
How do I get a quote?
To explore our full spectrum of plans, please contact a regional sales manager in your area, or request a proposal from this website specifying the desired plan design parameters.
Plan administration
Does Avēsis issue ID cards to members?
Yes. Member ID cards will be mailed to the home address provided by the member. A paper copy of the ID can be used until the card arrives. You can print a copy of your ID card from the member portal on our website. When a member schedules an appointment, providers will review covered benefits and verify eligibility.
Can a member receive vision care services from an Avēsis participating provider without an ID card?
It is not necessary for members to carry an ID card (see above).
What happens if I sell a group?
The following information will be needed to set up the group and issue enrollment materials:
- Employer application
- Plan sold (including copy of proposal, copayments, frequency of benefits, and rates)
- Enrollment dates
- Eligibility information as requested
What will the group receive when the plan is effective
As part of the implementation process, each new group will receive an Administration Manual. This guide will include the actual policy and Certificate of Insurance, in addition to detailed instructions on how to administer the vision benefit most efficiently.
What will members receive?
Members will receive enrollment materials consisting of a Summary of Plan Benefits, Enrollment Form(s), and a HIPAA Policy statement. Other educational materials about the importance of good vision care may also be included during open enrollment.
Who are your providers?
Avēsis has an extensive, highly qualified, and credentialed provider network that offers members convenience and choice nationwide. The network is composed of independent and retail ophthalmologists, optometrists, and opticians.
If a member needs medical or surgical treatment for eye disease or an eye injury, should an Avēsis provider be used?
The Avēsis plan does not cover medical or surgical treatment for eye disease or eye injury. The member, or the group’s benefits administrator, should contact his or her health plan for assistance in locating an appropriate surgeon. In case of medical emergency, members should call 911, or go to the nearest hospital emergency room.
If I have questions about my Avēsis plan, how do I reach out?
You’ll find contact information for the regional sales manager for your service area on the Sales Manager Locator Map.