EyeMed’s Vision for 2024: Expanding Horizons and Enhancing Care 

As EyeMed sets its sights on 2024, the company is gearing up for substantial growth and improvements across various fronts. In this article, we’ll provide an overview of the exciting updates and changes on the horizon for the coming year. 

Expanding Reach: One of the most significant developments is the expansion of EyeMed’s client base. The company is proud to welcome over 1.7 million Healthfirst members, spanning Commercial, Medicare, Medicaid, and Medical Optometry. Additionally, EyeMed will be migrating an additional 2.5 million Cigna Vision members to its network. These additions significantly increase the potential patient pool for EyeMed providers. 

Revised Provider Manual: To align with its goals for 2024, EyeMed has undertaken a comprehensive update of its Provider Manual and associated documents. These updates will take effect within ninety (90) days* of the notice for 2024. Here are some key changes: 

• Expanding Refraction Only Lives: EyeMed’s commitment to expanding refraction-only lives continues, with a current coverage of 18 million members. Providers can find an updated list of refraction-only clients and educational materials on filing refraction-only claims within the Provider Manual. 
• Lens Code Set Modernization: EyeMed modernized its lens code sets to align more closely with the vision industry. These updates enable cleaner claims submission and support lens innovation to adapt to emerging market offerings. In response to innovations like Varilux XR Track, Progressive and Anti-Reflective (A/R) Tiers, and Lens Options Schedules have been adjusted to accommodate these new products. 
• Streamlined Administration: EyeMed has introduced a new section in the Provider Manual aimed at simplifying the administration of plans with multiple pair allowances. Additional details can be found in the Provider Manual, with further communication via email. 
• Minor Updates: Several minor updates have been implemented, including steps to ensure provider information remains current and changes to the sports goggle claims process. 

Accessing the Provider Manual: Providers can access the updated Provider Manual by logging into the online claims system and navigating to InFocus through the Provider Website.