EyeMed vision coverage FAQs
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Your Questions Answered
Q: My eyes are fine. Do I really need to have them checked regularly?
A: Yes, regular eye exams are the way to go. It’s not just about correcting your vision—it’s about overall health. Eye exams can spot health conditions—like glaucoma, diabetes, cataracts and hypertension—early. The sooner these issues are spotted; the sooner you can get treatment.
Q: Will I save more money with this vision care benefit, or with an eyewear coupon or other promotional offer?
A: Great question! There are lots of special offers and coupons out there. When you compare them to your plan coverage, you’ll likely find that your vision plan saves you more money in almost every case. A nice bonus is that you can use your vision benefit whenever you need to. Say goodbye to coupon expiration dates and limited time offers. Keep in mind that your benefit can’t be combined with any other discounts or promotional offers. Naturally, you’re responsible for copays, any remaining out-of-pocket expenses and applicable sales tax.
Q: How do I get in touch with the Customer Care Center?
A: It’s easy! You can talk to a representative—a real person—by calling 866-939-3633. Also, you’ll find automated features online at www.eyemedvisioncare.com or through our automated voice response system.
Hours of live operation: Monday – Saturday: 7:30 a.m. to 11:00 p.m. EST Sunday: 11:00 a.m. to 8:00 p.m. EST
Q: I’m already enrolled in EyeMed through my spouse, can I join this plan too?
A: Sure, you can enroll on both plans! Just remember, you won’t be able to combine your benefits in the same transaction.
Q: Can I book an appointment online?
A: Absolutely! Go to www.eyemedvisioncare.com and click on “Find a Provider.” Enter your zip code, select your network, and click “Get Results.” From there, you can book an appointment with providers that offer online scheduling. How easy is that?
Q: Can I get new contacts and glasses in the same year?
A: Every 12 months, you can get either contacts or spectacle lenses. And you’re welcome to update your look with new frames every 12 months.
Q: Do I need to have my ID card with me to use my benefits?
A: Nope. An in-network provider only needs your name and date of birth. How easy is that?
Q: How do I get another member ID card?
A: If your member ID card gets lost, no worries! You don’t even need one to receive service. But if you want an additional card, you can request it through our website www.eyemedvisioncare.com.
Q: What’s included in a covered exam? Is dilation an extra cost?
A: No worries, we’ve got you covered. Eye exams at participating providers include dilation and other important eye health tests. There are no added out- of-pocket costs (other than a copay, if applicable).
Q: How does the standard lens benefit work?
A: It’s simple. We give you a standard, plastic lens – either single vision or lined multi-focal as part of the covered benefit. You’re only responsible for a copay, if applicable, and taxes.
Q: What about “add-ons” to the standard lenses?
A: Want UV and scratch protection? Or any anti-reflective coatings? Good news! Most of these common “add-ons” are discounted at EyeMed providers. Check with your provider before ordering for details.
Q: Can I receive no-line bifocals as part of the lens benefit?
A: Absolutely. EyeMed also offers set pricing on standard progressive (no-line) lenses. All you’re responsible for is a $65 amount, plus the standard lens copay and taxes. Also, some plans offer set pricing on premium progressive lenses based on the lens brand.
Q: Does my allowance amount only apply to certain frames?
A: No, you’re free to apply your allowance toward the retail price of ANY frame at any in-network location. EyeMed also gives you a 20% discount on the difference between the retail price and your allowance amount.
Q: How does the contact lens benefit work?
A: Just like the frame allowance, the contact allowance is applied to the retail price of any contact lens. No fussy formularies to worry about! Also, you can apply a 15% discount to the difference between the retail price and the allowance amount for non-disposable contacts.
Q: What is a contact fitting?
A: After buying contacts, a provider may ask you to check back in – just to make sure they’re perfect for you. They will assess your eyes and ensure that the new contacts are a great fit.
Q: Can I carry over an unused allowance amount to another purchase?
A: Sorry, the contact allowance amount is a one-time allowance. It’s best to use the full benefit on your initial purchase of contacts.
Q: Do I need to pay the full retail price for non-covered items?
A: You have a 20% discount to buy items not covered by the plan at network providers. This discount applies to everything except professional services and contact lenses.
Q: Do I need to submit claims for services rendered at an in-network provider?
A: Not at all. If you visit an EyeMed participating provider, you don’t need to worry about filling out forms or vouchers to get your benefits. After collecting the appropriate copays and other out-of-pocket expenses at the time of service, the provider submits the claim to EyeMed on your behalf.
Q: Does EyeMed offer any additional discounts?
A: Yes, indeed! You can enjoy these additional savings with a funded
EyeMed plan:
■ 40% off additional complete pairs of glasses.
■ 20% off any remaining frame balance.
■ 20% off non-covered items, including non-prescription sunglasses, accessories and lens cleaner.
■ 15% off any remaining conventional contact lens balance.
■ 15% off the standard price or 5% off promotional price of LASIK or PRK services.
Q: Does your provider network include both independent and optical retailers?
A: Yes. Members can choose from thousands of private practitioners and the nation’s leading optical retailers: LensCrafters®, Target Optical®, JCPenney Optical®, Sears Optical®, and most Pearle Vision® locations. And if your favorite provider isn’t in our network yet, you can nominate it. Just complete a Provider Nomination Form available through EyeMed’s Customer Care Center. The provider must accept and agree to the Terms and Conditions of our Professional Provider Agreement and complete the credentialing process to ensure they meet EyeMed’s quality standards.
Q: Do you offer a discount on laser vision correction?
A:You bet we do. Members get 5% off any promotion or 15% off there tail price for treatments performed through the U.S.Laser Network, which is owned and administered by LCA-Vision.
Visit EyeMed online to learn more