NEW! SPECTERA EYECARE NETWORKS PARTNERSHIP BRINGS AN INCREASE IN SERVICE RELATED ITEMS

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1 NEW! SPECTERA EYECARE NETWORKS PARTNERSHIP BRINGS AN INCREASE IN SERVICE RELATED ITEMS OD Excellence and Spectera Eyecare Networks have entered into a new partnership to offer OD Excellence members a simplified approach to providing eye care and eyewear for their patients covered under UnitedHealthcare Vision. OUR PARTNERSHIP HIGHLIGHTS LAB OF CHOICE Regardless of your practice location, you will be able to utilize your preferred lab partner if you choose. INCREASED SERVICE RELATED ITEMS Depending on your status with Spectera Eyecare Networks, you may be eligible for an increased eye exam and contact lens fitting rate. ELECTRONIC CLAIMS SUBMITTAL As a part of this partnership, OD Excellence members are highly encouraged to submit claims electronically through a claims clearinghouse or via spectera.com. PROGRAM IS OPEN TO OD EXCELLENCE MEMBERS: Depending on your status with Spectera Eyecare Networks, the process will take the following approximate time frames: Currently a Spectera Eyecare Networks provider and eligible for new partnership rates: à days* Not a Spectera Eyecare Networks provider today: days* *assumes paperwork is submitted in a timely manner GET STARTED TODAY OD Excellence or call (855) to get started today. info@odexcellence.com Members of OD Excellence ( members ) are not automatically enrolled into this Partnership and must contract with Spectera Eyecare Networks to become an approved optical provider. Members must be active and in good standing with OD Excellence to participate in the partnership outlined above.

2 Frequently Asked Questions What are my contract options as an OD Excellence member? This contract opportunity will not change your current contract arrangement unless you specifically request a change (i.e., you wish to use the Spectera Vision Laboratory or you wish to use a lab of your choice). Whether you are contracted with the Spectera Vision Laboratory or using a lab of your choice there may be service related options that are of benefit to you. However, you will still continue to secure eyewear materials according to your current contract structure. Please contact OD Excellence for more information. Who is responsible for materials including formulary or non-formulary products? If you are contracted with the Spectera Vision Laboratory, all materials, with the exception of nonformulary contact lenses, will be supplied by the Spectera Vision Laboratory. If you are able to use a lab of your choice, all materials and related costs are your responsibility. Do you have a list of the formularies for Progressive, Anti-Reflective, and Contact Lenses? Yes, please see the attached formulary lists. Keep in mind that our formularies are updated regularly and can be retrieved on spectera.com. If a provider is contracted with the Spectera Vision Laboratory or utilizing a lab of their choice, how will the reimbursement work? Any co-payment, deductible or coinsurance that a patient is responsible to pay under the Patient s Vision Plan will be subtracted from your contracted rate in determining the amount to be paid by SPECTERA EYECARE NETWORKS. Any amounts collected from the patient in excess of those listed in your contract for Ophthalmic Lens Options and Frames shall be owed to SPECTERA EYECARE NETWORKS and will be withheld from the applicable remittances. The actual payment amount is also subject to matters described in this Agreement, such as the Protocols. Do I get reimbursed for contact lens fittings? Yes, in the event this service is covered in full by the Patient s Vision Plan, then the reimbursement rate listed in a provider s contract Exhibit C applies. In the event this service is not covered in full by the Patient s Vision Plan, then the patient is responsible for paying your billed charge. Do we have to carry certain frames for Spectera Eyecare Networks patients? Spectera Eyecare Networks patients may choose from any frame that you carry. You are not required to carry a certain line or specific number of frame options.

3 Does this contract include all UnitedHealthcare Vision Plans? Spectera Eyecare Networks is the brand for our national provider network. UnitedHealthcare is the brand for our company and many of our plans. We often hear Spectera used to name our company and our plans but the vast majority of our patients don t know that name at all. Patients plan benefits typically use the UnitedHealthcare brand. When you speak to patients, it s important to call their insurance benefits by the correct brand name in order to avoid confusion. Of course, UnitedHealthcare may also be the name of your patients medical plans. That s OK many patients have both medical and vision insurance through UnitedHealthcare. It is more important than ever to verify each patient s eligibility and benefits at spectera.com before providing service. You can also access our brand information guide on spectera.com. Is retinal imaging reimbursable? Yes, retinal screening photography is reimbursed at $ It is more important than ever to verify each patient s eligibility and benefits at spectera.com before providing service. Is there a separate reimbursement for a refraction service? For in network providers the comprehensive exam reimbursement covers both the exam and refraction services. Do I need to obtain an authorization for providing services? No, we discontinued authorization requirements in April of It is more important than ever to verify each patient s eligibility and benefits at spectera.com before providing service.

4 Spectera Eyecare Networks and UnitedHealthcare Vision Do you know the difference? It s important to understand the difference between our two brands Spectera Eyecare Networks and UnitedHealthcare Vision and know when to use which brand. Spectera Eyecare Networks is the brand for our national provider network. UnitedHealthcare is the brand for our company and many of our plans. We often hear Spectera used to name our company and our plans but the vast majority of our patients don t know that name at all. Patients plan benefits typically use the UnitedHealthcare brand. When you speak to patients, it s important to call their insurance benefits by the correct brand name in order to avoid confusion. Of course, UnitedHealthcare may also be the name of your patients medical plans. That s OK many patients have both medical and vision insurance through UnitedHealthcare. You should also know that UnitedHealthcare patients are not the only patients you ll see as a Spectera Eyecare Networks provider. We serve plans with a variety of plan names in addition to UnitedHealthcare, including those listed below. Spectera, Inc is the contracting entity for Spectera Eyecare Networks providers. M /16 Spectera, Inc. All Rights Reserved

5 Vision Plan Contact Lens Selection List Maximize your benefit with these popular contact lens brands. Your UnitedHealthcare vision plan offers you a selection of popular contact lenses to help you get the most out of your coverage. Your eye doctor can help determine which contact lenses are best for you. Contact lens selection list 1 Daily Wear 2 Alcon DAILIES AquaComfort Plus (30 lenses per box) Alcon DAILIES AquaComfort Plus Toric (30 lenses per box) CooperVision Proclear 1 day (30 lenses per box) 1-Day ACUVUE Moist (30 lenses per box) Bi-weekly Wear 2 Alcon FreshLook Handling Tint (6 lenses per box) EFFECTIVE DATE APRIL 2017 CooperVision Avaira (6 lenses per box) CooperVision Biomedics 55 premier (6 lenses per box) Bausch + Lomb SofLens 38 (6 lenses per box) ACUVUE 2 (6 lenses per box) Monthly Wear 2 Alcon AIR OPTIX AQUA (6 lenses per box) Your contact lens coverage may vary. Log in to myuhcvision.com to see your coverage details. CooperVision Biofinity (6 lenses per box) CooperVision Frequency 55 aspheric (6 lenses per box) CooperVision Proclear sphere (6 lenses per box) Bausch + Lomb PureVision 2 (6 lenses per box) Bausch + Lomb Ultra (6 lenses per box) ACUVUE Vita (6 lenses per box) 1 The contact lens list is subject to change. The list does not apply at Costco, Walmart or Sam s Club locations. 2 Your wearing schedule may vary. Your doctor will tell you how often to change your contact lenses. All trademarks are the property of their respective owners. The company does not discriminate on the basis of race, color, national origin, sex, age, or disability in health programs and activities. We provide free services to help you communicate with us. Such as, letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call , TTY 711. ATENCIÓN: Si habla español (Spanish), hay de asistencia de idiomas, sin cargo, a su disposición. Llame al número de teléfono gratuito que aparece en su tarjeta de identificación. 請注意 : 如果您說中文 (Chinese), 我們免費為您提供語言協助服務 請致電 : , TTY 711 This policy has exclusions, limitations and terms under which the policy may be continued in force or discontinued. For costs and complete details of coverage, contact UnitedHealthcare Insurance Company. UnitedHealthcare vision coverage provided by or through UnitedHealthcare Insurance Company, located in Hartford, Connecticut, UnitedHealthcare Insurance Company of New York, located in Islandia, New York, or their affiliates. The contracting entity for Spectera Eyecare Networks is Spectera, Inc. Administrative services provided by Spectera, Inc., United HealthCare Services, Inc. or their affiliates. Plans sold in Texas use policy form number VPOL.06.TX or VPOL.13.TX and associated COC form number VCOC.INT.06.TX or VCOC. CER.13.TX. Plans sold in Virginia use policy form number VPOL.06.VA or VPOL.13.VA and associated COC form number VCOC.INT.06.VA or VCOC.CER.13.VA. MT / United HealthCare Services, Inc A

6 Vision Plan Progressive Lens Formulary List Complex lenses to help simplify your life. Standard Progressive Category Includes: Adaptar Computer Natural Ovation SmallFit Amplitude, Amplitude Mini Hoyalux GP Wide Computer Progressive Signet Armorlite Navigator, Navigator Short VIP Younger Image Deluxe Progressive Category Includes: AO AO Easy Accolade Varilux Comfort, Comfort Short Varilux Comfort DRx, Short DRx Varilux Ellipse, Varilux Physio, Physio Short Summit cd, ECP Signet Armorlite KODAK Precise, Precise Short Access 75, 125 MAX Vision-Ease Illumina Vision-Ease Novel Vision-Ease Novella GT2, GT2 Short Precision Pure 13, 15, 17, 19, 21 Synchrony Easy S Premium Progressive Category Includes: Accolade Freedom DEFINITY, DEFINITY SHORT Ideal, Short, Advanced New Varilux Comfort Enhanced Varilux Comfort W2+ Varilux Ipseo IV Varilux Physio DRx, Short DRx Varilux Physio Enhanced, Fit Varilux Sport Summit cd iq, ECP iq SEIKO Supercede 12, 14 Autograph II 11 mm, 13 mm, 15 mm, 18 mm, Variable Autograph II Attitude 15 mm, 18 mm Autograph II Office Autograph II Variable element, element short Signet Armorlite KODAK Unique Compact ULTRA HD HDV One HD Synchrony Performance HDV Choice 13, 15, 17, 19 Platinum Progressive Category Includes: Varilux Physio W3+ Varilux S LUX id Instyle Hoyalux ID Lifestyle 2 Clarity Hoyalux ID Lifestyle 2 Harmony Hoyalux ID Lifestyle 2 Clarity CD Hoyalux ID Lifestyle 2 Harmony CD Precision Plus Progressive Individual 2, 2I, 2N NOTE: Formulary list subject to change. Effective: July 2017 The company does not discriminate on the basis of race, color, national origin, sex, age, or disability in health programs and activities. We provide free services to help you communicate with us. Such as, letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call , TTY 711. ATENCIÓN: Si habla español (Spanish), hay de asistencia de idiomas, sin cargo, a su disposición. Llame al número de teléfono gratuito que aparece en su tarjeta de identificación. 請注意 : 如果您說中文 (Chinese), 我們免費為您提供語言協助服務 請致電 : , TTY 711 Progressive lenses not listed are offered at a 20% discount off the provider s retail price. UnitedHealthcare vision coverage provided by or through UnitedHealthcare Insurance Company, located in Hartford, Connecticut, UnitedHealthcare Insurance Company of New York, located in Islandia, New York, or their affiliates. Administrative services provided by Spectera, Inc., United HealthCare Services, Inc. or their affiliates. Plans sold in Texas use policy form number VPOL.06.TX or VPOL.13.TX and associated COC form number VCOC.INT.06.TX or VCOC.CER.13.TX. Plans sold in Virginia use policy form number VPOL.06.VA or VPOL.13.VA and associated COC form number VCOC.INT.06.VA or VCOC.CER.13.VA. MT / United HealthCare Services, Inc

7 Vision Plan Anti-Reflective Coating Selection List Less glare. Better vision. Anti-refl ective lenses can help you to see better by limiting the refl ection of bright lights and computer screens. Your UnitedHealthcare vision plan offers you a selection of anti-refl ective eyeglass lenses to help you get the most out of your coverage. Your eye doctor can help determine which lenses are best for you. Anti-reflective coating selection list 1 : Standard anti-reflective coatings: Crizal Easy UV Standard Standard AR Green Super ET Premium anti-reflective coatings: Endura EZ Crizal Alizé UV Crizal Prevencia Hi Vision Premium Premium W/View Protect Signet Armorlite KODAK CleAR Dura Vision Silver Platinum anti-reflective coatings: Crizal Avancé UV Crizal Sapphire Crizal Sunshield UV Recharge Hi Vision w/viewprotect Super Hi Vision w/viewprotect SUPER HI VISION EX3 Signet Armorlite KODAK Clean N CleAR Dura Vision Platinum PureCoat 1 The lens list is subject to change. All trademarks are the property of their respective owners. EFFECTIVE DATE JULY 2017 Your lens coverage may vary. Log in to myuhcvision.com to see your coverage details. Anti-refl ective coatings not listed are offered at a 20% discount off the retail price at participating providers. The company does not discriminate on the basis of race, color, national origin, sex, age, or disability in health programs and activities. We provide free services to help you communicate with us. Such as, letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call , TTY 711. ATENCIÓN: Si habla español (Spanish), hay de asistencia de idiomas, sin cargo, a su disposición. Llame al número de teléfono gratuito que aparece en su tarjeta de identificación. (Chinese) , TTY 711 This policy has exclusions, limitations and terms under which the policy may be continued in force or discontinued. For costs and complete details of coverage, contact UnitedHealthcare Insurance Company. UnitedHealthcare vision coverage provided by or through UnitedHealthcare Insurance Company, located in Hartford, Connecticut, UnitedHealthcare Insurance Company of New York, located in Islandia, New York, or their affiliates. Administrative services provided by Spectera, Inc., United HealthCare Services, Inc. or their affiliates. Plans sold in Texas use policy form number VPOL.06.TX or VPOL.13.TX and associated COC form number VCOC.INT.06.TX or VCOC.CER.13.TX. Plans sold in Virginia use policy form number VPOL.06.VA or VPOL.13.VA and associated COC form number VCOC.INT.06.VA or VCOC.CER.13.VA. MT / United HealthCare Services, Inc