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New Accounts - Provider | Member

Avesis Provider Services
800-231-0979

NEWS
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Georgia Medicare

Georgia Medicare

Effective May 1, 2013, Avesis will administer routine vision for WellCare of Georgia Medicare Advantage members in the counties of: Barrow, Bryan, Butts, Chatham, Chattahoochee, Cherokee, Clayton, Cobb, Columbia, DeKalb, Douglas, Fayette, Forsyth, Fulton, Glynn, Gwinnett, Harris, Henry, Liberty, McIntosh, Muscogee, Newton, Paulding, Richmond, Rockdale, Spalding, Stewart, Talbot and Walton.

WellCare of Georgia Medicare Advantage members will be in one of the following plans: WellCare Access (HMO SNP) or WellCare Value (HMO-POS).

Below you will find a sample image of the ID card that members will present when they come to your office for services.

Members' benefits vary according to their individual coverage. As a participating provider, it is imperative that you verify eligibility and benefits on all members each time they present in your office. Please remember that only the services covered by the member's benefit plan will be paid by Avesis.

Value Plan: Eye exam: One every 12 months

Access Plan: Eye exam: One every 12 months; Frame: One every 12 months; Eyeglass lenses: One pair every 12 months; Contact lenses (in lieu of eyeglasses, fitting excluded): $100 retail benefit every 12 months

If you are not currently an Avesis participating provider and are interested in participating in these programs, please complete the contracting paperwork by following the link below. All participating providers must have an NPI number. If you do not have an NPI number, please click here to apply. If you have any questions please contact our Provider Services Representatives at 1-888-211-4016.

If you are currently an Avesis Provider and have not signed the Medicare addendum to be added to the Medicare network, please click here and send to:

Avesis Third Party Administrators, Inc.
10324 South Dolfield Road
Owings Mills, MD 21117