Wellcare of Kentucky Medicare Advantage - Routine Vision and Eye Medical
Effective January 1, 2013, Avesis will be administering routine vision and eye medical benefits to Wellcare of Kentucky Medicare Advantage members in the counties of: Boone, Bourbon, Campbell, Clark, Fayette, Grant, Jefferson, Kenton, Pendleton and Scott.
Below you will find a sample image of the ID card that members will present when they come to your office for services. Wellcare of Kentucky Medicare Advantage members will be in one of the following plans: WellCare Access (HMO SNP) or WellCare Value (HMO-POS).
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.
Plan benefits include vision services such as routine eye exams, frames, spectacle lenses and lens options. The plan also offers a benefit toward contact lenses and the fitting fee (in lieu of frames and lenses) as well as a post cataract eyeglass benefit. For eye medical benefits, please refer to the 2012 Medicare fee schedule. Please remember that some services may require prior authorization. Please click on the links below to view the benefits for this plan.Wellcare of Kentucky Vision Medicare Advantage Benefit Sheet
If you are not currently an Avesis participating provider and are interested in participating in these programs, please complete the Provider Credentialing and Contracting paperwork located. The link is located on the left hand side of the page. All participating providers must have a NPI number. If you do not have a NPI number, please click here to apply. If you have any questions please contact one of our Provider Services Representatives at888-211-4016.
Send Completed Materials by mail to Provider Services at:
Mail To:Avesis Third Party Administrators, Inc.
Attn: Kentucky Network Development
10324 South Dolfield Road
Owings Mills, MD 21117