Change in 2024 Medicare Vision Administration
Effective Jan. 1, 2024, vision administration for all Ascension Complete1 and Wellcare2 Medicare Advantage plans currently administered by Envolve Vision transitioned to Premier Eye Care and Wellcare.
2024 Wellcare Medicare Vision Administration
State | Routine Eye Services | Medical Eye Services by an Optometrist | Medical Eye Services by an Ophthalmologist |
---|---|---|---|
AL, GA, IL, IN, MA, MI, MO, NE, NV, NJ, NM, NC, OK, PA, SC, TN, TX | Premier Eye Care | Premier Eye Care | Wellcare |
AR, AZ, KS, LA, MS, NH, OH, OR, WA, WI | Premier Eye Care | Wellcare3 | Wellcare3 |
FL | Premier Eye Care | Premier Eye Care | Premier Eye Care |
Any claim with a date of service on or after Jan. 1, 2024 for the applicable states should be submitted to the new vision benefit administrator. There are no changes for 2023.
If you do not currently hold a Medicare contract with the new administrators in your market, it is important that you engage with them now to ensure you can continue to see these Medicare Advantage members in 2024.
There is no change in administration for Envolve’s other products in 2024. Where applicable, Envolve will continue to administer vision benefits for Medicaid and/or Ambetter products in your market.
1 Ascension Complete rebranded as Wellcare in 2024
2 Wellcare includes Wellcare, Wellcare By Allwell, Wellcare By Health Net and Wellcare By Trillium
3 No additional contracting is required to continue providing medical eye services for Wellcare Medicare Advantage members in 2024 in AR, KS, LA, MS, and NH. Where applicable your existing contract with Envolve Vision transitioned to Wellcare.