Crossing The Line
The untapped market opportunity of converting flattop wearers to PALs
By Karlen McLean, ABOC, NCLC
Clearly, getting rid of the lines on your patient's eyewear presents a new avenue to good service and profit. With the right practice policies, at least half of your patients--or more--would purchase progressive addition lenses with or without insurance coverage.
Converting flattop bifocal or trifocal wearers to PALs can help achieve higher margins with the same number of units. Here's how high-conversion practices help every flattop wearer be a PAL success.
MAKING THE SWITCH
The key to success is to not only bring in new patients, but also to covert flattop wearers who tried PALs unsuccessfully in the past.
With an older patient base, about 50 percent of patients walk into A-New-View Optical in Panama City, Fla., wearing flattop bifocal, trifocal, or executive style lenses, says optician Paul Peterson.
|
|
Now you see it, now you don't. The new Essilor Liberty PAL is specifically designed to convert bifocal wearers |
"It's my job to re-educate them on today's technology and reassure them that our practice's skills--combined with quality product--will give them a successful second chance in PALs," he notes.
While some diehards want to keep their lines, today's technology makes PAL conversion easy for new users and those who haven't adapted to PALs in the past.
"We ask non-adapts to describe their PAL experience, and then work from that information to see if we can help them convert now," says Mary Szczerbiak, optician and manager at Rosenstein Eye Care in Durham, N.C. "We typically tell the patient about new developments in PALs. With that information, almost all convert this time around."
From a design and warranty standpoint, Diane Charles, optician-owner of Woodlawn Optical in Redmond, Wash., says she finds today's PALs are more accepted.
"We find that few patients are non-adapts. We discuss our PAL return policy up front. We tell patients that only one percent of our patients return their PALs because they can't wear them, so their chances of being successful are high."
|
|
No line is a part of the conversion story--ease-of-use is another primary consideration PHOTO COURTESY OF ZEISS |
|
|
|
The aesthetics of switching from a bifocal to a PAL shouldn't be forgotten PHOTO COURTESY OF VISION-EASE |
INVESTING TIME
The conversion process means taking time to speak with the patient about the potential of PALs at every step of the patient's visit.
In the chair. "Lens information starts with the doctor in the exam room," says Kirk Smick, OD, of Clayton Eye Care Center in Atlanta. "If patients hear it from the dispenser, they're more likely to feel that they're being sold. From the doctor, it's prescribing."
Let flattop wearers know that they will regain their intermediate vision with PALs, "especially if they have a high add power," says Tom Graves, optician and president of Schaff Opticians in Brattleboro, Vt., and Greenfield, Mass.
"So much of what people do today is in the intermediate zone--gas pumps, computers, cell phones, office work. Having clear intermediate vision is an important part of visual function and comfort," he says.
A conversion talk takes one to two minutes, Smick estimates. "If they're wearing flattops, I tell them that our office is up-to-date on the latest lens technology and trends, and that I want them to see our opticians who will detail my recommendations."
After examining patients and prescribing PALs, he walks patients to the dispensary and introduces them to an optician. "I tell the optician and patient that I've recommended PALs."
In the dispensary. Opticians should go into detail when discussing patient lifestyle requirements and how a flattop to PAL conversion will affect their everyday life.
The secret to success for opticians is quality time, Woodlawn Optical's Charles says.
"We spend a huge amount of time educating patients on PALs and everything they need to know to be a successful PAL wearer."
In the fitting process. Taking time to take the right measurements pays off, and pre-adjusting the frame prior to measuring is a necessity.
"Measurements need to be right on the money, and you can't short the add power," advises Szczerbiak. "You need a deep enough frame to accommodate the visual zones of a PAL. We stick to the manufacturer's recommended fitting height."
SUCCESS STORY
To ensure success, focus on teamwork and always regard ophthalmic lenses as a medical device.
Smick concludes: "Successful dispensers take time to talk about lenses, with lens background and instructions on how to use the lenses, just like a pharmacist explains how to manage a patient's medication."
Bifocal lenses are still popular with many wearers. Photo courtesy of Younger Optics |
Formula For Success |
||
A recent Essilor survey shows the profits to be gained in converting one flattop wearer to PALs per day. |
||
Flattop | PAL | |
Lab to ECP | $25 | $70 |
ECP to Patient | $75 | $200 |
Margin | $50 | $130 |
$130 x 5 days a week = $650 weekly increase 52 weeks per year x $650 = $33,800 annual increase The same survey found that 43.5 percent of flattop wearers dislike the lines in their bifocals, either due to the visual function or how they look to others |
Conversion Tips |
Eyecare experts consistently recommend the following top 10 to-dos to ensure success in converting flattop wearers to PAL wearers: 1. Point out the pros and cons of PALs upfront, during the first visit. Take time to find out details of your patients' lifestyle, so you can personalize the conversion conversation to their concerns. If you wear and enjoy PALs, mention it. 2. Discuss PAL warranty policies in a positive way. Saying, "We only have a one percent return rate on our PALs, so your success with PALs is virtually assured," is better than, "You have 30 days to bring them back for any reason." 3. Briefly discuss new PAL technologies in terms that matter to the patient, not techno-speak. For those who tried PALs unsuccessfully before, be sure to focus on the differences between today's PAL technology and yesterday's PALs. 4. Understand today's diverse PAL product designs and how well a given design will dovetail with a particular patient's visual style. For example, one PAL may focus on providing exemplary distance and near vision, while another may provide a wider intermediate zone. Know where your patients use their eyes the most and "custom design" a PAL to their needs. 5. It's not just about the lens. AR can help PAL patients see better by reducing reflections. UV protection helps block harmful ultra-violet rays. Scratch resistance can stop or reduce visually distracting scratches. Certain tints can help those with various visual conditions see more clearly. And photochromic technology is a great all-around, everyday choice. 6. For a better conversion success rate and less redos/remakes, use quality PAL products with reliable designs and technology with strong warranties. There's no room for error on PAL measurements. Pre-adjust the frame, then take the time to double-check to be sure the PD, OC, seg height, and other measurements are right on. Be sure the frame's B measurement is deep enough to take full advantage of all of the PAL visual zones. 7. Doctors should prescribe PALs chair-side and briefly discuss changing flattops to PALs with patients. Take patients to the dispensary and talk with the optician and patient about PALs to reinforce the prescription. 8. Write "PAL" in the note section of the prescription pad. Better yet, have a "PAL" box on the Rx pad and simply check it off. Write a separate Rx for a second pair of eyewear, such as readers or variable focus lenses. 9. In today's world, one pair of eyewear won't do it all. Make sure your patients understand the need for a separate pair of reading eyewear if they read a lot, or computer eyewear/VFLs if they work at the intermediate range a lot. Discuss a second pair on the first visit. 10. One key element drives patients to seek PALs over flattops: No line. But the underlying motivation can vary. Some patients are driven by the desire to look better without the line, while others crave the intermediate vision gain. Most will want both. |