Some providers may not participate in all plans. Current Avēsis members should log in to see their actual listing of participating providers.
When making your appointment, please be sure your provider offers all services you may need.
California members are entitled to Language Interpreter Services, at no cost to the member. Language Interpreter Services may also be available to members outside California. If you require Language Interpreter Services, please call the Member Services telephone number on your ID card.
Members are entitled to full and equal access to covered services, including insureds with disabilities as required under the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973.
The information included in the directory is accurate, to the best of the carrier’s knowledge, as of the date of updating/printing, and that covered persons or prospective covered persons should consult the carrier’s electronic provider directory on its website, or call the carrier’s customer service telephone number, to obtain current provider directory information.
To download the Network Adequacy Report, please click here.
Avesis Provider Network Criteria:
Avesis assesses each prospective network during implementation to determine the number of providers needed for routine and specialty care based on the benefits being offered. Goals are set based on state or client access requirements. If there are no state or client access requirements, Avesis has established access standards to measure network adequacy. Goals are set to dictate the appropriate number, specialty, and geographic proximity of the network to meet access requirements. Avesis uses Quest Analytics geo software to assess compliance with established recruitment goals. All provider prospects are solicited to participate in the Avesis network until all recruitment goals are met. If there are gaps in network adequacy, Avesis will continue recruitment activities until the network is complete, all provider options have been exhausted, or a provider shortage area has been documented. Avesis may negotiate enhanced fee schedules, if needed to comply with network adequacy requirements. Client approval will be obtained per the client contract. Network exceptions will be well documented and presented to the client in the event that an access gap is unable to be filled.
All providers must pass through credentialing in order to be added to the network. Our credentialing process ensures an efficient, high quality network of licensed providers who comply with all local, state and federal regulations, including CMS and NCQA accreditation standards.
Provider list is updated every 24 hours.
Avēsis Incorporated and Avēsis Third Party Administrators, Inc., are wholly owned subsidiaries of Guardian. Guardian® is a registered service mark of The Guardian Life Insurance Company of America, New York, NY. ©2019 Avēsis Incorporated. ©2019 Guardian. All rights reserved. Used with express permission. #2019-76061 (exp. 8/21)
Commercial vision products are marketed and administered by Avēsis and may be underwritten and issued by Avēsis, Guardian, Fidelity Security Life Insurance Company, and National Guardian Life Insurance Company, depending on state of issue.
Amplifon is a managed discount-card program for hearing care and hearing aids provided through a third-party arrangement between Avēsis and Amplifon. Avēsis and Guardian assume no responsibility for products or services offered by Amplifon.
CBTR Optical Labs is an independent, full-service, digital lab providing optical lenses and services for Guardian and Avēsis. CBTR Optical Labs is not affiliated with Guardian or Avēsis.
QualSight® LASIK is a vision correction benefit management company that provides certain vision correcting procedures through a third-party arrangement between Avēsis and QualSight.
Medicaid, CHIP, and Medicare Advantage dental, eye care and hearing programs are administered by Avēsis Third Party Administrators, Inc., as a subcontractor to Medicaid and Medicare Managed Care Organizations. Avesis Third Party Administrators, Inc. is a wholly owned subsidiary of Guardian. Guardian® is a registered service mark of The Guardian Life Insurance Company of America, New York, NY. ©2019 Avēsis Incorporated. ©2019 Guardian. All rights reserved.
SecureADVANTAGE supplemental gap policies are marketed by Avēsis, underwritten by Fidelity Security Life Insurance Company, and administered by Special Insurance Services, Inc.