Eyecare Discounts at No Extra Cost

Looking at things differently

vsp-logoLess than 4% of employers provide eyecare benefits because most health plans offer them at an additional cost. But more than 60% of all Americans require some form of vision correction. Encore knows how critical proper eyecare is to its members. And because we are committed to offering the very best in overall coverage, the Encore Health Network is offering members and their families exceptional eyecare coverage from VSP at no additional charge. This makes Encore the only PPO in the state of Indiana to offer complimentary eyecare discounts. VSP is the nation’s largest provider of eyecare coverage, where more than one in ten Americans rely on VSP for eyecare wellness.

It’s just another way that Encore is focused on you and your health. Take a look at the savings:

  • 20% discount on a VSP doctor’s exam fee
  • 20% discount on a complete pair of prescription glasses—This benefit is unlimited, meaning members and their families can purchase as many pairs as they want using the discount.
  • 15% discount on contact lens fitting and evaluation exams
  • 15% average discount on the regular price of laser vision correction at contracted laser centers or an additional 5% off the center’s promotional price
  • Learn more about laser vision services.

Encore is also committed to making your experience hassle-free. With just these two steps, you can make the most of your vision discounts:

  1. Find a VSP network doctor. Click here to search for a doctor in your area. You can also consult your paper directory of VSP network doctors or contact Jonathan Giacalone at (888) 574-8180.
  2. Make an appointment. Just show your Encore VSP ID card and pay the discounted amount. We will take care of the rest—you will never need to fill out a claim form or wait for reimbursements.

If you have questions about our eyecare discounts, simply contact Encore’s Customer Service Department toll-free at (888) 574-8180, 8:30 a.m. to 5 p.m. EST, Monday through Friday.

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Special Authorization is required to access the Payor Updates.
Please contact one of the following Account Executives for access:
· Holly Joyce at (317) 621-4263 or hjoyce@encoreppo.com, or
· Kevin McShay at (317) 621-4264 or kmcshay@encoreppo.com

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Notice

Encore has entered into a new arrangement for chiropractic services with HSM, Inc. HSM, Inc., a Minnesota-based specialty network services organization, will administer the chiropractic network for our Encore and Encircle service areas.

HSM will directly hold contracts with all participating chiropractors; therefore, there are some changes of which you should be aware. Regarding billing, chiropractors will now send their claims directly to HSM. HSM will collect the data in their system, including treatment plans for case management, and forward claims to the appropriate Encore payor. The payor will send all payment directly to HSM, who will in turn reimburse the chiropractor according to the negotiated rates.

If you are interested in becoming a participating chiropractor in the Encore Health Network, please contact HSM at 800-432-3640 or visit their web-site at www.hsminc.com.

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Current Worker's Comp Payors

Arete USA D/B/A The Covenant Companies
HealthSmart
HFN, Inc
Indiana University
InterPlan Health Group
IU Health Plan
MCMC LLC
ASU Group
Major Hospital
ACS CompIQ Corporation, A Xerox Company

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Payor and Provider Resources

Payors please contact Account Executive Kevin McShay at (317)621-4264 or kmcshay@encoreppo.com for access.

For any provider issue, please contact Provider Contracting Coordinator, Tina Bilodeau at (317)621-4269 or tbilodeau@encoreppo.com.