OptumHealth Vision (Spectera) Insurance Plan Updates
OptumHealth Vision (Spectera) updated its insurance plans effective October 1, 2016. As a result, you may need to modify the OptumHealth Vision (Spectera) insurance plans used by your practice in AcuityLogic Admin as follows:
- Set up a manual OptumHealth Vision (Spectera) insurance plan in AcuityLogic Admin. Direct AcuityLogic POS users to use the manual insurance plan for all eyeglass and contact lens orders until an administrator makes the required insurance schedule modifications in AcuityLogic Admin.
- Modify the insurance schedules for the OptumHealth Vision (Spectera) insurance plans used by your practice in AcuityLogic Admin. The modifications required depend on the plans used by your practice and the information provided to you by OptumHealth Vision (Spectera). Eyefinity recommends the following modifications:
- Modify insurance schedules to address the eyeglass lens option updates being implemented by OptumHealth Vision (Spectera).
- Add a method to insurance schedules for polycarbonate lenses to address the dependent minor coverage update being implemented by OptumHealth Vision (Spectera).
- Modify insurance schedules to address the contact lens coverage updates being implemented by OptumHealth Vision (Spectera) for all contact lenses.
- Modify the method in insurance schedules for nonformulary contact lenses to address the fitting fee coverage update.
This section provides recommendations for making these modifications in AcuityLogic Admin.
Topics include the following:
- Setting Up a Manual Insurance Plan
- Modifying Insurance Schedules for Lens Options
- Modifying Methods for Non-Formulary Contact Lenses
- If you have not yet received the details of the updates from OptumHealth Vision (Spectera), contact your OptumHealth Vision (Spectera) customer service representative.
- The recommendations outlined in this section are based on the information Eyefinity received from OptumHealth Vision (Spectera). Eyefinity recommends that you contact your OptumHealth Vision (Spectera) customer service representative for details about the impact of the insurance plan updates on your practice before making the following modifications.