18-V3 - City of Burleson 906435 - OVMCR-15A - Vision Dashboard - Service 24Mo thru 2025-11.xlsx

XLSX spreadsheet 159 KB Posted

Attached to
RFP 2026-015 Dental & Vision Insurance Benefits
Solicitation number
RFP 2026-015
Issued by
Johnson County, Texas

About this file

This file contains a vision insurance dashboard report for the City of Burleson, Texas, documenting claim and utilization data for vision benefits under policy number 0906435 (OVMCR-15A) for the service period of December 1, 2023 through November 30, 2025. The report reflects enrollment and claims activity for an average of 7,766 eligible members, with 3,887 members accessing vision services during the period, representing a 49.87% utilization rate. The dashboard identifies the top retail vision chains and private practice locations where plan members sought services, with Americas Best Contacts & Eyeglasses accounting for the highest retail utilization at 22.08% of total claimants, followed by Visionworks at 12.47%. Among private practices, Vision Plaza PA in Burleson represents the largest concentration of claimants at 24.11%, with other significant providers including Burleson Eye Care, De Grasse and Ratliff Eye Center, and Moore Eye Center located throughout the greater Fort Worth metropolitan area.

The report demonstrates comprehensive price protection through multiple lens and coating options with documented savings to the plan. Members achieved significant cost savings through anti-reflective coatings (ranging from $414 to $3,075 in savings across tiers), photochromic lenses ($3,693 in savings across 46 claims), and progressive lenses across five tiers with savings ranging from $1,503 to $7,114. All 3,885 claimants utilized in-network services, representing 100% network compliance. The data reflects strong adoption of ancillary vision services including retinal screening, tinted lenses, and UV coatings, indicating comprehensive utilization of available vision benefits across the City of Burleson's employee population.

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Sheet1 City of BurlesonDashboard

Selection ParametersValues on Report
Client Effective Date: 1/1/2016
Service Date Range: 12/1/2023 to 11/30/202512/2/2023 to 11/23/2025
Client Renew Date: 1/1/2025
Group ID: ALLClient ID: 336654
Client Policy Number: 0906435
Accessing MembersAverage Eligible MembersAccessing Members/Avg. Eligible Members
3,8,77,7,649.87%
Top 10 Retail Chains
Top 10 Private Practice Locations
Retail ChainUnique Claimants% of Total Claimants
Practice NameUnique Claimants% of Total Claimants
Americas Best Contacts & Eyeglasses8,522.08%
VISION PLAZA PA2,724.11%
Visionworks4,812.47%
116 E ELLISON ST STE C
MyEyeDr3,59.09%
BURLESON, TX
BURLESON EYE CARE2,219.64%
Walmart Vision Center2,15.45%
Costco Optical1,33.38%
201 NW RENFRO ST
BURLESON, TX
Warby Parker1,23.12%
DE GRASSE and RATLIFF EYE CENTER76.25%
Sams Club Optical92.34%
300 MERCEDES ST
Lenscrafters71.82%
BENBROOK, TX
Target Optical51.30%
MOORE EYE CENTER54.46%
Texas State Optical41.04%
2545 NORTHWEST LOOP
2,3,9
STEPHENVILLE, TX
FORT WORTH EYE CENTER54.46%
5329 SYCAMORE SCHOOL RD STE 113
FORT WORTH, TX
CLEAR EYE ASSOCIATES PLUS OPTICAL54.46%
5912 CONVAIR DR STE 208
FORT WORTH, TX
WHITNEY FAMILY EYECARE43.57%
1221 N BRAZOS ST
WHITNEY, TX
IDEAL EYECARE AND OPTICAL43.57%
7216 GLENVIEW DR
RICHLAND HILLS, TX
PEDIATRIC EYE SPECIALISTS32.68%
321 S HENDERSON ST
FORT WORTH, TX
DANN MARTIN OD PA32.68%
5520 S COOPER ST STE 110
ARLINGTON, TX

&"Arial,Regular"&10 OVMCR-15A &"Arial,Regular"&10 Run Date Time: 12/8/2025

Sheet2 City of BurlesonDashboard

Selection ParametersValues on Report
Client Effective Date: 1/1/2016
Service Date Range: 12/1/2023 to 11/30/202512/2/2023 to 11/23/2025
Client Renew Date: 1/1/2025
Group ID: ALLClient ID: 336654
Client Policy Number: 0906435
Claimant Counts by Network TypePrice Protection Utilization*
CategorySaving Through Price ProtectionService
Network TypeClaimant Count% of Total Claimants
Price Protection DescriptonRetailAverage SurchargeSavings
From RetailCount
In Network Service3,8,5100.00%
Coatings
Out of Network Service10.26%
Anti-Reflective Coating: Tier I$9,1$2,5$4,1,1,262
Total Claimants
3,8,5100.00%
Anti-Reflective Coating: Tier II$1,0,4$5,0$5,41
Anti-Reflective Coating: Tier III$1,1,3$5,7$2,8,3,851
Anti-Reflective Coating: Tier IV$1,6,0$9,5$3,0,7,547
Photochromic$1,4,7$6,7$3,6,9,346
Tint$4,2$1,4$1,1,24
UV Coating$2,2$4$2,4,013
Examination
Retinal Screening$4,7$0$9,42
Lenses
Progressive Lenses: Tier I$2,2,2$5,5$1,5,0,39
Progressive Lenses: Tier II$2,8,2$1,0,0$2,0,0,211
Progressive Lenses: Tier III$3,5,7$1,5,0$6,0,0,329
Progressive Lenses: Tier IV$4,3,7$6,7$2,2,2,26
Progressive Lenses: Tier V$4,8,8$2,5,0$7,1,43
Roll and Polish Edges$2,9$1,3$1,6,010
Materials
High Index (<= 1.66)$9,7$3,4$9,4,115
High Index (1.67-1.73)$1,6,0$6,1$2,0,8,621
Polycarbonate Lenses for Adults$6,8$2,9$4,0,2,2104
Polycarbonate Lenses for Children$6,2$3$2,1,3,336
Price Protection Savings To Members$3,5,6,5,2470
*Retail price values are based upon network averages. Lower retail prices than those reflected may be available at some value-based and online retailers.

*Most other lens options are offered with at least a 20% discount off of retail. Check with your provider. May not apply at some locations.

&"Arial,Regular"&10 OVMCR-15A &"Arial,Regular"&10 Run Date Time: 12/8/2025 image3.jpg image4.jpg image7.png

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