Programs

Commercial Vision

We offer two programs for the commercial client. The Avēsis Advantage Plan, our fully insured, standalone program, is offered through brokers and agents to all employer groups and associations, regardless of their size.

Our second is a private label, risk-sharing program, distributed through large managed care and insurance company alliances. Both programs deliver significant savings to the sponsors and members.

Essential Pediatric Vision

The Avēsis Pediatric Vision Program satisfies the essential health benefits requirement under PPACA. Our Family Vision Plans are the right choice to bring value-added benefits to small group offerings. This program is available for small group and individual markets.

Medicaid Vision

Avēsis has an eye care services plan designed exclusively for government-sponsored programs. We cover millions of members throughout the country and can launch efficient programs that meet state guidelines for quality of care. Our experience with ever-changing Medicaid requirements makes administering these programs a breeze, and our Medicaid-specific networks exceed the minimum access requirements of every state we service.

Medicare Advantage Vision

Avēsis delivers value-added vision benefits to a significant portion of the Medicare Advantage market. Because seniors have an extensive need for vision care services, many of these plans are offering these essential benefits to their members. With our vision care program, Avēsis can help differentiate Medicare Advantage plans.

Dental

Avēsis Advantage PPO Dental

Our members want convenience and coverage from their dental plans, and our Advantage PPO offers both, with a large network of dentists, low or no deductibles, and coverage for preventive, basic, and major services. Members may choose from three unique dental networks, each of which offers distinct advantages for lowering out-of-pocket costs and controlling their own comfort—even if it means seeing an out-of-network dentist.

Essential Pediatric Dental

Our Pediatric Dental Program satisfies the minimum Essential Health Benefits required under PPACA, and our new Family Dental Plans allow health plans to attract more families to their small group offerings by providing value-added benefits. The program is available for small group and individual markets.

Medicaid Dental

As the dental administrator for numerous health plans, Avēsis has established a reputation among the dental community as a caring, competent company. We provide Medicaid dental services to millions of members across the country.

Medicare Advantage Dental

Good oral health is a key component of overall health. Dental and medical researchers are now learning more about how dental conditions affect the entire body and how systemic diseases are linked by poor oral health. This is true with diabetes and heart disease, which are common in older patients and can have an impact not only on their finances but also on their longevity and quality of life.

MMP Dental

MMP is designed to coordinate care for individuals who are eligible for both Medicaid and Medicare (dual eligible or Medicare-Medicaid enrollees). MMP will generally have a unique ID card. Avēsis covers MMP members in multiple states and administers dental benefits on a plan-by-plan basis.