85 Nice to see you Hello, State of North Carolina NCFlex Welcome - PowerPoint PPT Presentation

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Nice to see you Hello, State of North Carolina NCFlex Welcome to EyeMed

EyeMed 101  What’s included within your vision benefits  How EyeMed makes it easy for members  Who to call for specific issues  Why vision health is important  What you need to know 87 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

The comprehensive eye exam Our providers conduct comprehensive eye examinations to diagnose or detect existing conditions of the eye and vision system. Our standards follow those established by the American Academy of Ophthalmology in the “Preferred Practice Patterns” & the American Optometric Association in Clinical Practice Guidelines. The exam includes: Dilation (if needed)  Case history  Patient observation  Clinical diagnostic testing, including binocular function  Refractive status  Color vision testing  Stereopsis testing  Assessment, diagnosis and treatment plan  When should a member visit their medical doctor? For any eye disease or serious condition that may be found during their eye exam. 88 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

In-Network Schedule Core Basic Enhanced Exam Copay Exam $20 $20 $20 Standard Contact Lens Fit/Follow retail price $20 $20 $20 Copay, 10% off retail $20 Copay, 10% off retail price, then apply $55 price, then apply $55 Premium Contact Lens Fit/Follow retail price allowance allowance $200 Allowance, 20% off balance $125 Allowance, 20% off over $200 Frame 35% off retail balance over $125 Lens Copay Single $50 $0 $0 Bifocal $50 $0 $0 Vision Benefits Trifocal $105 $0 $0 Standard Progressives $135 $50 $50 Tier 1 $70 Copay Tier 1 $70 Copay Overview Tier 2 $80 Copay Tier 2 $80 Copay Tier 3 $95 Copay Tier 3 $95 Copay Tier 4 $50 Copay, 20% off Tier 4 $50 Copay, 20% off Premium Progressives 20% off retail retail less $120 Allowance retail less $120 Allowance Lens Options UV $15 $15 $15 Tint $15 $15 $15 Standard Scratch $15 $13 $13 Polycarbonate $40 $40 $40 Standard Anti-Reflective $45 $45 $45 Tier 1 $57 Copay Tier 1 $57 Copay Tier 2 $68 Copay Tier 2 $68 Copay Premium Anti-Reflective 20% off retail Tier 3 20% off retail Tier 3 20% off retail Conventional 15% off retail price Disposable 0% off $175 Allowance Contact Lens retail price $120 Allowance Frequency Exam Once every 12 months Once every 12 months Once every 12 months Lenses or Contacts Unlimited Once every 12 months Once every 12 months Frame Unlimited Once every 24 months Once every 12 months 89 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

Understanding the lens benefit Progressive lenses Other lens options Standard lenses Offer a full range of vision  Fixed pricing and discounts on Single vision   correction additional lens options Prescribed for those who need - correction for one field of vision Members can opt for standard Free of the distinct line often   (either far away OR up-close) lenses or lenses with multiple seen on bifocal and trifocal lenses Multifocal  add-ons Seamless progression of  Lenses that contain correction - Coverage for things like  corrective strength: for two or more fields of vision polycarbonate, anti/reflective, Include bifocal and trifocal Look up for help seeing distances - − tint, UV, etc. lenses Look straight ahead for immediate − objects Look down to see close-up items − All options fall within two types:  Standard − Premium −

More on progressive lenses Features Customization Cost Standard General purpose  Traditionally processed  Premium Tier I Softer design  More reading comfort  Traditionally processed  Premium Tier II Increased adaptation  Traditionally processed  Premium Tier III Improved adaptation  Increased clarity at any  distance Digitally processed  Premium Tier IV Sharpest level of vision  based on design and personal measurements Digitally processed 

More details on how your benefits work Your frequency is based on: Calendar Year So, if a member receives an exam today, they are eligible again 1/1/2018. Past services will not be carried over. All benefits will reset effective 1/1/2018. Contacts are in lieu of lenses only That means members are entitled to a full pair of glasses (frame & lenses) OR contacts and frames (members would then receive a 20% discount on their lenses) Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited. 92

Extra discounts for members 40% additional pair discount – the best, most flexible in the industry 15% off LASIK 40% off hearing exams and discounted, set pricing on hearing aids 20% off any remaining frame balance 15% off any balance over the conventional contact lens allowance 20% off any non-covered item *In-network only. May not be available on all plans. Confirm if your provides this option. 93 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

Your network: INSIGHT + WalMart 99,000 And online: Providers nationally 3,200 Fully integrated with your benefits  Huge selection of frames, lenses  and contacts Free shipping  Award-winning 3D try-on  Providers in NC technology at Glasses.com 94 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

Locating a provider Go to the vision plan Download and use Check the listing of the Call the Customer section at the EyeMed Members closest providers on the Care Center NCFLEX.org App (available for Welcome Packet iPhone and Android) There will be a direct State of North Carolina Toll link to the provider Free Number: locator 866-248-1939 Available 9/1/2017 95 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

Member Website Features Members will access the NC Flex custom website through the link at NCFLEX.org or by visiting www.eyemedvisioncare.com/NCFlexoe 9/30/2017: Provider locator and OE information available 1/1/2018: Members may register to: View benefits and eligibility status*  Download ID cards and EOBs  Locate a provider  Schedule your eye exam (available at  many provider locations) Download OON claim form  Check claim status  View vision wellness information  *NOTE: due to HIPAA regulations, members will not be Review LASIK information  able to view dependents over the age of 18 96 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

EyeMed Members App  Ability to view ID card  Exam and contact refill reminders  Benefit details  Ability to load and save prescription  Provider locations with directions  View additional special offers Downloa Available for Apple devices on the App Store and through Google Play for Android d it today: 97 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.

Ongoing member support with our Customer Care Center 866-248-1939 They can self-serve with our IVR: Live reps available: Provider Locator  Monday – Saturday: Plan Benefits  7:30 – 11 p.m. EST ID Cards  Sunday: Claim Form  11 – 8 p.m. EST Claim Status  Laser Surgery information  Simply state "Agent" or “Customer Service” in order to be directly routed to a live representative 98 Confidential Notice: This document contains privileged information and is for the sole use of the intended recipient(s). Disclosure or distribution to and review or use by any unauthorized Luxottica EyeMed associate(s) and external parties is prohibited.