A NEW TISSUE
Triad Cornea Community is the exclusive provider of cornea tissue for vision insurance plans administered by Avesis, a Guardian company.
This vision plan, with a cornea rider, is the only one of its kind that provides for cornea tissue reimbursement. This feature is unique in the vision insurance industry.
TRIAD IS THE ONLY DISTRIBUTION AND REIMBURSEMENT SYSTEM THAT:
An efficient distribution and reimbursement system
Eye banks receive appropriate reimbursement for the corneal tissue processing fees
The communication and reimbursement process by working directly with TCC and the vision plan provider
Community based nonprofit eye banks
WHO WE ARE
We are the exclusive provider of cornea tissue for the Vision Insurance Plan administered by Avesis. This vision plan with a cornea rider is the only one of its kind providing cornea tissue reimbursement to eye banks.
We are a distribution and reimbursement network comprised of nonprofit, EBAA accredited, and FDA registered eye banks.
WHAT WE DO
We connect eye banks with surgeons and patients to provide an alternative mechanism for cornea tissue reimbursement.
We provide healthcare professionals with a convenient, straightforward database, called Triad Electronic Database System (TEDS™), to request corneas for transplant.
We streamline the ordering, invoicing and reimbursement process by working directly with Avesis for reimbursement.
We eliminate the need for eye banks to invoice the surgeon for the cornea tissue processing fee.
Triad Electronic Database System (TEDs™)
A proprietary database system that streamlines the ordering, invoicing, and reimbursement process for cornea tissue.
Provides healthcare professionals a convenient database system to request corneas for transplant
Provides eye banks a seamless process to distribute cornea tissue to the transplanting surgeon
Provides tissue status and shipment notifications to the physician and staff
Connects Triad Cornea Community with the insurance provider for cornea tissue reimbursement
Eliminates the need for eye bank invoicing and physician claim submission
Starting in February 2020, patients can enroll in the Avesis supplemental vision plan that features a cornea rider.
The cornea rider is an additional benefit to patients that provides coverage for the cornea for transplant.
The patient is seen by their ophthalmologist of choice who will verify the insurance plan.
The processing fee for the cornea is covered by the vision insurance plan, at no cost to the patient.
NOTE: Patients without the vision benefit/cornea rider should check with their current medical insurance for coverage.
Patients enrolled in the supplemental vision plan featuring the cornea rider will receive full coverage for the processing fee of the cornea.
The cornea is requested through Triad Cornea Community and TEDS™.
Invoicing and reimbursement for the cornea tissue will be transacted among Triad Cornea Community, the eye bank and the insurance provider.
The surgical facility will not receive an invoice for the cornea from the eye bank.
The surgical facility will not submit a claim for the cornea to the patient’s medical insurance.
NOTE: All other expenses for the corneal transplant will be billed under the patient’s medical insurance.
PRACTICE ADMINISTRATORS/ SURGERY SCHEDULERs
Register and establish a profile in the Triad Electronic Database System (TEDS™)
Identify and verify patients enrolled in the Avesis vision plan that features the cornea rider
Request the cornea through Triad Cornea Community and the Triad Electronic Database System (TEDS™)
Receive tissue status and shipment notifications as they occur
PARTICIPATING EYE BANKS
Miracles In Sight
Dakota Lions Sight & Health
Lions Eye Bank of Wisconsin
Sierra Donor Services Eye Bank
Transplant Services Center –
Lone Star Lions Eye Bank
VisionFirst Indiana Lions Eye Bank
Lions Eye Bank of West Central Ohio
Kentucky Lions Eye Bank
To cultivate collaboration among surgeons, eye banks and insurance providers to efficiently transform donors’ gifts into sight restoration.