This document discusses how to properly evaluate and compare out-of-pocket costs for vision insurance plans. It notes that benefits companies may present information differently and not always provide an accurate picture. The document follows Kim, a benefits administrator, as she discovers EyeMed considers how employees actually use vision benefits like utilization rates and additional eyewear purchases. EyeMed is shown to provide the lowest out-of-pocket costs on average while also having the highest network coverage. By accounting for real member preferences and behaviors, EyeMed ensures the most accurate representation of savings.

1. Take a look
at the big
picture
The truth about
out-of-pocket costs

2. We have a
99%client satisfaction rate.
Lower prices,
higher satisfaction
Let’s talk out-of-pocket costs.
They’re a major factor when
considering which benefits provider
to choose. But how do you know
which company gives you the best
bang for you buck?
We’ll show you how to look at the
big picture – and how to compare
the real data – to make the best
decision.

3. She’s a benefits administrator
comparing out-of-pocket
expenses for an organization
with 2,500 employees. And
she’s found that benefit
companies use information
differently.
Take Kim here

4. Like comparing a plan
with fixed lens options
to a non-fixed plan.
Or comparing less
expensive plastic
lenses to high
index ones.

5. Kim discovers that making an informed
decision about out-of-pocket costs means
looking at the big picture. Not just at one
transaction … but at millions.
vs.

6. Here’s what she finds
EyeMed has built its plan around the way employees actually use
vision benefits: various vision correction needs, the percentage of
utilization, and even the fact that 15% of her employees will likely
purchase additional eyewear. Employees want a plan that fits their
specific needs and budget.
15purchase a 2nd pair
29%
29%
42% How our members
purchase
Single vision
Progressive lenses
Contact lenses
%

7. In addition to the average frame price, our analysis
considers the most popular lenses, lens options and
contact lenses – Varilux Comfort, Crizal Alizé UV and
Acuvue Oasys, for example –to reflect employee
preferences.
Varilux® is a licensed trademark of Essilor International. Crizal® Alize is a licensed trademark of Essilor International.
Acuvue® Oasys is a licensed trademark of Vistakon, a subsidiary of Johnson & Johnson.

8. 11EyeMed
advantage
Out-of-pocket costs for EyeMed members are $11
less than our largest competitor.*
Combine these lower costs with our unparalleled network, and
your employees get a truly valuable member experience.
* Based on the EyeMed Insight Network. $10 material co-pay/$120 frame or contact allowance
$
Single vision
Progressive lenses
Contact lenses
Second pair
$ 100 200 300 400
EyeMed
Largest competitor

9. Kim finds that whether her employees
want to go to an independent
provider or one of the top retailers in
the nation, EyeMed gives them the
ability to stay in network. Unlike other
benefits companies where they might
pay hundreds of dollars more to see
the same provider, just because
they’re out of network.
With EyeMed,
Kim can expect
of her employees
to stay in network.
96%more
than

10. Kim crunches the numbers and realizes that her
company’s membership actually could see thousands
in total annual savings – just from more employees
using benefits inside the network.

11. Consider these
questions when
thinking about
out-of-pocket costs

12. Do the sample transactions
compare similar network/plan
types?
Yes
1
No
Learn more at StartHere.EyeMed.com/Savings

13. Do the sample transactions
compare similar network/plan
types?
Yes
1
No
No! Some companies compare transactions on
their fixed-cost plans vs. the non-fixed plans of
their competition.
Learn more at StartHere.EyeMed.com/Savings

14. Are all vision correction needs
(single vision, progressive lenses
and contact lenses) represented?
Yes
2
No
Learn more at StartHere.EyeMed.com/Savings

15. Are all vision correction needs
(single vision, progressive lenses
and contact lenses) represented?
Yes
2
No
No! Some companies show just one type of
transaction.
Learn more at StartHere.EyeMed.com/Savings

16. Do the sample transactions reflect
what members buy – the most
common price points, most popular
lenses and add-ons?
Yes
3
No
Learn more at StartHere.EyeMed.com/Savings

17. Do the sample transactions reflect
what members buy – the most
common price points, most popular
lenses and add-ons?
Yes
3
No
No! Some companies use less expensive
proprietary brands in their transaction examples
instead of the most common ones.
Learn more at StartHere.EyeMed.com/Savings

18. Does the assessment reflect other
out-of-pocket factors?
Yes
4 No
Learn more at StartHere.EyeMed.com/Savings

19. Does the assessment reflect other
out-of-pocket factors?
Yes
4 No
No! Some comparisons neglect to consider
important out-of-pocket costs like additional pairs
and non-covered items.
Learn more at StartHere.EyeMed.com/Savings

20. Are all discounts reflected in the
transaction honored at all locations
in the network?
Yes
5
No
Learn more at StartHere.EyeMed.com/Savings

21. Are all discounts reflected in the
transaction honored at all locations
in the network?
Yes
5
No
No! Some comparisons may not be honored or
applied consistently across all providers in the
network.
Learn more at StartHere.EyeMed.com/Savings

22. The bottom line
When you look at
how millions of real
people use their
benefits and what
they typically
purchase, you’ll
find savings.
Download the
EyeMed overview
to learn more.

23. See Kim in action
Watch her compare EyeMed to other vision
benefits providers. Seeing is believing!