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Advantica Awarded NCQA Certification for Utilization Management
Clearwater, FL (May 23, 2013) - Advantica, a leading ancillary benefits company, today announced the successful renewal of its National Committee for Quality Assurance (NCQA) Certification in Utilization Management for eye care services.
As an eye care benefits administrator, Advantica employes utilization management strategies to deliver high-quality service to its health plan clients. The company's proprietary set of clinical and billing guidelines are applied at every stage of the claims life cycle through prior authorization, auto-adjudication of claims and manual reviews. These practices detect over billing and/or unnecessary procedures and allow Advantica to intervene in cases when services are found to be inappropriate or excessive.
"It is our goal to provide clients and members with reduced costs, improved quality of care and an overall positive experience. NCQA's renewal of our utilization management program certification is affirmation that we are achieving that goal," noted Mark Sarno, O.D., Advantica Medical Director.
NCQA's Utilization Management Certification Program assesses key aspects of utilization management operations that focus on consumer protection and improvement in service to customers. NCQA's certification review includes a rigorous on- and off-site evaluation conducted by a team of physicians and managed care experts. The NCQA Review Oversight Committee of physicians analyzes the team's findings and assigns a certification status based on an organization's performance against standards, within applicable certification options.
Advantica Launches AdvanticaContacts.com
Clearwater, FL (March 14, 2013) - Advantica, a leading ancillary benefits company today announced the launch of AdvanticaContacts.com, a proprietary online mail order contact lens program.
AdvanticaContacts.com offers competitive pricing, an extensive selection of contact lenses including all major brands, easy customer navigation and convenient online and order processing. The program is available to members covered by vision plans administered by Advantica for employer groups and health plans, as well as the general public. The general public receives discounts on mail order lenses. Members have the added value of reimbursement on qualified purchases based on their plan coverage allowances.
"We anticipate that many contact lens wearers will be able to take advantage of this new contact lens program, given the higher annual supply cost associated with new contact lens materials and current market trends toward disposable lens products," shared Andy Davis, senior vice president of sales and marketing at Advantica.
All contact lens orders are shipped in full compliance with current contact lens prescription regulations. Prescriptions are verified prior to shipping by obtaining a copy of the contact lens prescription or contacting the eye care provider to verify the prescription.
For more information, vision www.AdvanticaContacts.com or contact AdvanticaContacts.com at 855.820.6965 or firstname.lastname@example.org.
Advantica's Chief Operating Officer, Margaret Nekic, selected as Most Influential Women in Optical 2012 - Executive Suite.
From her start as an entry-level claims manager to her position as COO, Nekic has worked in health care for both mid-sized and Fortune 500 insurance corporations for over 15 years. In addition to her executive duties at Advantica, the vision care and dental benefit management company, she also is actively involved in the National Association of Vision Care Plans and the National Association of Specialty Health Organizations.
At the age of 13, without vision insurance, she put on eyeglasses for the first time and realized how clear everything could look. “I immediately understood all the things that I had been missing and wanted to share that realization with others,” she said. “I am now part of an organization that delivers that vital service to millions of individuals nationwide. Vision insurance takes a proactive approach by encouraging patients to get comprehensive vision care regularly.” Still, she never imagined her undergraduate degree in political science and MBA would lead to this area of the insurance industry.
“The managed vision care industry has traditionally been dominated by women in all facets of the business except for the executive suite,” she continued. “That is changing. We are seeing more women emerge as proven, valued and equal leaders.”
While she feels that women bring vital insights and strength to leadership, she believes it really boils down to the person regardless of their sex and that breaking stereotypes is the key to success as it brings about true equality in the workplace.
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Advantica Partners with the Tampa Bay Rays to Support "Reading with the Rays" Program
Advantica, a dental and vision benefit provider based in Clearwater, Florida is pleased to announce its support of Reading with the Rays, a summer reading program designed to encourage and reward children for reading during the summer break.
As the Official Vision Benefits Partner of the Tampa Bay Rays, Advantica understands that reading is vital to a child's development in life. Good eyesight plays a critical role in the ability to read and children who struggle reading may have undiagnosed vision problems. Comprehensive eye examinations are an important step in helping children succeed in school, in sports, and in life.
"This is an excellent opportunity not only to cultivate the love of reading in children, but also to educate kids and adults about the benefits of good vision care. Advantica has partnered with the Tampa Bay Rays for the past six years and we enjoy supporting out community with the Rays" commented Richard Sanchez, Advantica's President.
Reading with the Rays is supported in partnership by Advantica, the Rays Baseball Foundation, the Tampa Bay Time Newspaper in Education, and the Tampa Bay area library systems. To participate in the program, children in third through fifth grade can visit their local library and pick up a game card to start reading around the bases.
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Advantica and CharityWorks Partner to Provide Economically Disadvantaged Students with Oral Health Education and Dental Supplies
Advantica, an integrated vision and dental benefits provider based in Clearwater, Florida and CharityWorks, Inc., a nonprofit intermediary, announced today their partnership in providing all elementary students in Pinellas County Title 1 Schools with dental supplies to support the students' oral health and wellness needs.
Advantica is supporting CharityWorks' Give Hope USA wellness-medical aid program by providing toothbrushes and printed educational materials for dental kits. With other individual contributors, over 19,000 students will receive supplies for the kits, including a six (6) ounce tube of toothpaste. Each school is offered the opportunity to turn the process of the dental kit assembly into learning experience and at the end of the day each student can take their dental kit home.
"The Give Hope USA program was launched in 2010 and continues to thrive today through the support of our local businesses, like Advantica, many individual donors and local volunteers," shared Chris P. Renfrow, President and CEO of ChariyWorks, Inc.
Earlier in the year, Advantica also supported the program by participating on a judging panel in which the students presented their own, uniquely created Public Service Announcements to promote good dental hygiene. Advantica supplied the winning school with a year's supply of toothbrushes and educational materials. CharityWorks delivered the grand prize to Melrose Elementary in the first of four planned distributions in 2012.
"Our support of the CharityWorks' Give Hope USA program is part of our continued corporate effort to support the local community and promote good oral health as a vital part of a person's total health," commented Richard Sanchez, Advantica's President.
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Advantica’s President, Richard Sanchez, Selected as Finalist for Ernst & Young Entrepreneur Of The Year® 2012 Florida Program
Advantica, an integrated vision and dental benefits provider based in Clearwater, Florida is proud to announce that its president, Richard Sanchez, has been selected as a finalist in the Ernst & Young Entrepreneur Of The Year® 2012 Florida program.
The award recognizes entrepreneurs who demonstrate excellence and extraordinary success in such areas as innovation, financial performance and personal commitment to their businesses and communities. Now in its 26th year, the Entrepreneur Of The Year Program has expanded to recognize business leaders in more than 140 cities in more than 50 countries throughout the world.
Mr. Sanchez was selected from nearly one hundred nominations by a panel of independent judges. Awards will be presented at a special gala on June 14 at the Hilton Orlando.
“I am truly honored to be considered for such a prestigious award and for Advantica to be associated with such an impressive group of innovative companies and leaders across the state of Florida and nationwide. We could not have done it without the incredible staff we have supporting our company,” commented Mr. Sanchez.
Regional award recipients are eligible for consideration for the Ernst & Young National Entrepreneur Of The Year Program. Award recipients in several national categories, as well as the Ernst & Young National Entrepreneur Of The Year Overall Award recipient, will be announced at the annual awards gala in Palm Springs, California, on November 17, 2012.
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Advantica Website Enhancement
Advantica, one of the leading vision care and dental benefits companies in the country is pleased to announce the completion of its website enhancement initiative. This change, with enhanced graphics, streamlined navigation and new capabilities are designed to benefit our members, clients, brokers and providers. Service is a leading focus at Advantica and continuous improvement underscores that commitment. We have expanded our Knowledge Library to provide in-depth information on the value of both vision care and dental benefits and how they can pay for themselves in terms of early intervention into serious health conditions.
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BenefitMall Announces Partnership with Advantica
BenefitMall is pleased to announce our new partnership with Advantica in the Mid-Atlantic to include billing and administration for new and existing business effective immediately. Advantica provides comprehensive employer paid and voluntary eye health plans for companies of all sizes.
Here are a few highlights about Advantica and their product portfolio:
Customizable vision benefit designs (co-pays, frequencies and allowances) to compliment your current benefit package.
A national provider network consisting of more than 16,000 independent and retail optical locations.
Progressive lenses covered for a $50 co-pay.
Transitions (photochromic) lenses covered for a $60 co-pay.
Members or dependents 19 years old or younger can select polycarbonate lenses at no additional cost ($30 co-pay for members and dependents age 20 or older).
Extended customer service hours (11pm Eastern Standard Time) Monday-Friday, 24/7 access via Integrated Voice and Advantica web site.
“Advantica is excited to begin working with BenefitMall,” says Andy Davis, Senior Vice President of Sales and Marketing for Advantica. “This relationship gives Advantica the opportunity to expand our presence through the BenefitMall’s industry-leading broker services and distribution. With the two companies synergistic views on conducting business, Advantica is looking forward to a long-lasting partnership.”
If your client’s benefit program does not include a vision benefit, consider offering one of Advantica’s vision plans at their next renewal.
For additional information on Advantica, please visit their website at www.advanticabenefits.com or contact your BenefitMall Sales Team today.
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Richard L. Sanchez named President of the National Association of Vision Care Plans
The National Association of Vision Care Plans (NAVCP) elected Richard L. Sanchez, President and CEO of Advantica, to President. Mr. Sanchez succeeded Liz DiGiandomedico of EyeMed Vision Care, who had held the office for the past two years. Mr. Sanchez outlined five key objectives for the organization in the coming year: developing the NAVCP’s strategy toward the roll-out of health care reform, and partnering with other groups aligned with its strategy; reviewing the organization’s structure to make sure it best represents its members’ interests; continuing to communicate the value of vision care and the role of vision plans in health care; expanding the awareness and role of the NAVCP with benefiting entities; and continuing to increase membership and add value to the members.
The NAVCP currently has 17 primary members and 16 allied members. New members since last year’s conference are Eyeinfinity/OfficeMate, NGL Insurance, Focal Center, Pro Fit Optix, Eyemart Express and eyeQuest; For Eyes, Block Vision and VisionWeb also have returned as NAVCP members.
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Advantica EyeCare Announces Official Name Change to "Advantica"
Expansion of Benefit Services to include Vision, Dental, and Wellness Programs
Advantica today announced that after 10 years it is retiring the name Advantica EyeCare and will now officially be known simply as Advantica. The official name change is accompanied by a new logo and tagline. “We have officially outgrown the old name”, said Richard Sanchez, Chief Executive Officer and President of Advantica. “We’re constantly looking for ways to improve and enhance our offerings on behalf of our employer groups, health plans, brokers and members. The addition of dental healthcare benefits to compliment our industry leading vision programs, and the expansion of our specialty healthcare management services to incorporate overall wellness care, is just a natural progression”. The newly developed dental benefit programs will be implemented stand alone or will be bundled with Advantica’s current vision benefits to provide a more attractive solution for employer groups and their members. Advantica’s brokers benefit by having a more flexible solution when recommending Advantica as its “specialty healthcare management” provider. “SEE, SMILE, LIVE”, the new Advantica tagline, better reflects Advantica’s “niche” expertise within the specialty healthcare management services arena as an implementer of effective total wellness management programs, tailored to the needs of health plan organizations. The wellness programs vary and are geared toward the management, detection and identification of medical conditions and diseases prior to them becoming major medical issues. The newly developed program, named “AdvantiCARE” is scheduled to launch later this year. “We feel the new name, logo and tagline better reflect the organizations position in the marketplace and solidifies our commitment to enhancing our members overall wellness through proactive vision, dental and wellness healthcare management”, said Sanchez.
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Rays Announce Advantica as Sponsor of Newly Developed Executive Suite
Deluxe Suite Ideal for Businesses, Accommodating up to 32 Guests
The Tampa Bay Rays are happy to announce Advantica, the “Official Vision Benefit Partner of the Tampa Bay Rays” is the proud sponsor of our newly developed “Corporate Executive Suite” available for purchase during home games this season. The “Advantica Executive Suite” is ideal for businesses and fans seeking a unique and fun environment to entertain friends, prospects, customers, partners, and employees. Located on the third base side of Tropicana Field’s Press level, the suite offers fans an upscale experience with a full range of catering options, spacious seating for up to 32 guests, and access to Tropicana Field’s large meeting rooms. “Advantica is excited to continue our ongoing relationship with the Rays since we’ve been extremely happy with their support and the marketing exposure they’ve provided for our company,” said Advantica President Richard Sanchez. “The Rays partnership provides us with an ideal platform to educate the public and business community about our industry leading vision plans while effectively introducing new products, as we will be doing this year with the addition of our dental plans.” Advantica has been a Rays’ corporate sponsor since 2008 providing fans practical insight into the mechanics of pitching and batting through an in game video segment called Advantica’s “Keep Your Eye on the Ball”. More importantly, Advantica is an active participant and contributor to the Ray’s Foundation and its wide variety of fundraising events.
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Advantica EyeCare Partners with QualSight for LASIK Vision Services
Advantica, a vision benefit company servicing employer groups and health plans, announced today that is has reached agreement with QualSight, Inc. as the new provider for LASIK Vision Services to Advantica EyeCare members. “We are delighted to announce our partnership with QualSight,” said Richard Sanchez, President and Chief Executive Officer of Advantica EyeCare. “Advantica EyeCare has always strived to provide the richest vision benefits available in the industry, coupled with superior customer service. In QualSight we have found a LASIK partner that shares our company’s vision.” QualSight, Inc. is a privately held company headquartered in Chicago, Illinois. QualSight manages a proprietary national network of over 750 LASIK providers. QualSight’s focus is offering members experienced surgeons who use leading-edge FDA approved technology for laser vision correction.
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