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EyeMed's vision benefits
At EyeMed we want you to see better AND feel better. That’s why we put together this step-by-step guide to walk you through EyeMed's vision benefits.
Member ID
Once enrolled, your member ID is the key to unlocking your benefits.
- Find your member ID: In your welcome kit that was mailed to your home when you joined EyeMed.
- Can’t find it? Call us at 1.866.4-EYEMED and use the automated prompts to get your ID.
Using your Member ID # you can log into member web to see your vision benefits
Benefits breakdown
Once enrolled, your new vision benefits will be broken down into a unique grid that details what you’ll pay in-network and out-of-network. Keep in mind, staying in-network saves you money!
| Vision Care Services |
In-Network Member Cost |
Out-of-Network Member Reimbursement |
|---|---|---|
|
EXAM SERVICES
|
||
| Exam | $10 copay | Up to $40 |
| Retinal Imaging | Up to $39 | Not Covered |
|
FRAME
|
||
| Frame | $0 copay; 20% off balance over $130 allowance** | Up to $91 |
|
LENSES
|
||
| Single Vision | $10 copay | Up to $30 |
| Bifocal | $10 copay | Up to $45 |
| Trifocal | $10 copay | Up to $60 |
|
CONTACT LENSES
|
||
| Contacts – Conventional | $0 copay; 15% off balance over $130 allowance** | Up to $104 |
| Contacts – Disposable | $0 copay; plus balance over $130 allowance | Up to $104 |
| Contacts - Medically Necessary | $0 copay, paid-in-full | Up to $104 |
|
Contact lens fit and follow up
|
||
| Fit and Follow-up - Standard | Up to $55 | Not Covered |
| Fit and Follow-up - Premium | 10% off retail price** | Not Covered |
**Discount shown is EyeMed’s standard, negotiated discount on any remaining balance over the frame, contact lens and service allowances. These discounts are not insured benefits and may not be available through all providers, in all states, or with all plan designs.
Allowance and co-pay may vary by plan.
Exam Services
Important for every member of the family, eye exams are how doctors keep tabs on your vision. Copays vary and are due at the time of service; your eye doctor will bill the rest of the cost to EyeMed.
Be it for a baseline of eye health or vision correction, your eye doctor gets a front row view — either through dilation or retinal imaging. There’s no additional cost for dilation. In this example, retinal imaging costs up to $39 at in-network eye doctors; anything beyond that amount would be covered by your benefits.
Frame
Costs of frames and lenses differ based on your needs and preferences. That’s why they are listed separately. In this example, you'd get $130 toward any frame you’d like. You'd then get 20% off the remaining balance** and pay what’s left at the time of purchase. Here’s what that would look like:
$188 Frame
- $130 Allowance
= $58
- $11.60 (20% discount off balance)**
You owe = $46.40 for frame
Lenses
There are different types of lens designs, lens materials and lens enhancements. Your eye doctor can help determine what may be right for you. Let’s say you need basic single vision lenses. Here, you’d simply owe a $10 copay for your lenses.
You might also opt for lens enhancements, like polarization to help eliminate the sun’s glare or an anti-reflective coating designed to improve night vision. Learn more about different lens types, materials and enhancements that may be included in your benefits:
- Allowance
Allowance
The amount of money you can put towards your frames, contact lenses or other purchase. See it in action: If you have a $100 allowance for frames and you purchase frames that are $150, you pay $50 out-of-pocket.
- High-Index
High-Index
This super thin lens is best for those with a strong prescription. They are designed to bend light more efficiently and allow light to travel faster through them. Your eye doctor may want you to use a high-index lens depending on your prescription and the frame you choose.
- Progressive
Progressive
Are you nearing the big 4-0 and finding reading more challenging? If so, you may benefit from a progressive lens. Also known as no-line bifocals, these lenses are a perfect marriage of form and function. With no lines across the lens, others won’t even know you’re wearing a multi-focal lens. They provide a graduated range of vision that varies from distance on the top to reading on the bottom. Along with the cosmetic appeal, this is a good lens choice for complete vision correction at all distances — distance, intermediate and near.
- Lens Options
- Lens Guide
Contact Lenses
There are 2 parts to contact lens benefits: the lenses themselves and the process of appropriately fitting your contact lenses (called Fit and Follow-up exam). You still need an eye exam to check your overall eye health and general prescription, though contact lenses require different measurement and adjustment. You’d pay up to $55 for this additional standard exam; your benefits would cover the rest. When it comes time to order your contacts, you would be covered up to $130 for conventional lenses and receive 15% off the balance over $130.**
See the difference
Now see how vision benefits could help you save. The following scenario compares out-of-pocket costs for an adult who receives an exam and then selects a pair of glasses with a single vision, polycarbonate lens and a frame that retails for $188.*
*The comparisons shown are for illustrative purposes only; actual benefits and savings will vary for members and non-members relative to participation in a plan, services and materials selected, as well as by in-network, out-of-network and PLUS Provider locations. Members should log into Member Web to see their benefits.
**Discount shown is EyeMed’s standard, negotiated discount on any remaining balance over the frame allowance. This discount is not an insured benefit and may not be available through all providers, in all states, or with all plan designs.
Get Started
Once enrolled, Go to member web to:
- Find a doctor
- Manage your benefits
- Score discounts
Easy never looked so good.
Quick tips
Being an EyeMed member has its perks. It’s a whole new world of vision care. Here are some insider tips to help you take advantage of your benefits. Once enrolled you can:
Sign up for text alerts
Text alerts keep you up-to-speed on the latest benefit boosting special offers and eye health tips. Call 844.873.7853 to opt-in. Be sure to have your Member ID handy!
Log into member web
Member Web is the place to see benefit details, keep tabs on claims and get special offers for vision care. Check it out!
Special savings for savvy spenders
As an Eyemed member, you can register for a member account on eyemed.com or via the app. Once registered, you get access to a members-only page chock full of additional discounts.
- Extra $50 off at LensCrafters® in addition to your EyeMed benefits1
- 40% off a complete second pair at participating in-network providers
- Up to $800 off LASIK2
- 40% off hearing exams through Amplifon Hearing Health Care®3
Disclaimer: Discounts are not insurance.
Glossary
1. Present offer to receive an extra $50 off when you use your EyeMed vision benefits tow the purchase of a frame and premium anti-reflective lenses. Complete pair (frame and clear or sun lenses with premium anti-reflective) purchase required. Cannot be combined with an offers, previous purchases, readers or non-prescription sunglasses. Must present offer to redeem; single use only. Valid prescription required. Discounts are off tag price. Savings lenses. No cash value. Plastic lenses, MVP/MVC progressive designs, Varilux®, Cartier®, Lindberg®, and Maui Jim® Frames and Authentic lenses excluded from bonus offer. Valid in-store only. Void where prohibited. See associate for details. Offer expires 12/31/2021. Manual Deal 756994.
2. Savings based on a standard price of $2099 per eye. Prices will vary the market and are subject to change. Combine the 15% discount off standard prices from LasikPlus, plus an additional 5% discount. Additional 5% discount only available on Custom or Wavelight bladeless treatment with lifetime enhancements.
3. Terms and conditions may apply. Get more info.
4. You’ll need a valid prescription to process your order. Visit eyemed.com to find an eye doctor near you.
5. "How to choose the best lenses for your glasses," All About Vision, https://www.allaboutvision.com/lenses/how-to-choose.htm. Updated March, 2021.
WWW-1901-M-95
Important for every member of the family, eye exams are how doctors keep tabs on your vision. Copays vary and are due at the time of service; your eye doctor will bill the rest of the cost to EyeMed.
Be it for a baseline of eye health or vision correction, your eye doctor gets a front row view — either through dilation or retinal imaging. There’s no additional cost for dilation. In this example, retinal imaging costs up to $39 at in-network eye doctors; anything beyond that amount is covered by your benefits.
CloseCosts of frames and lenses differ based on your needs and preferences. That’s why they are listed separately. In this example, you get $130 toward any frame you’d like. You then get 20% off the remaining balance and pay what’s left at the time of purchase. Here’s what that looks like:
$163 Frame
- $130 Allowance
= $33
- $6.60 (20% discount off balance)
You owe = $26.40 for frame
There are different types of lens designs, lens materials and lens enhancements. Your eye doctor can help determine what may be right for you. Let’s say you need basic single vision lenses. Here, you’d simply owe a $10 copay for your lenses.
You might also opt for lens enhancements, like polarization to help eliminate the sun’s glare or an anti-reflective coating designed to improve night vision. Learn more about different lens types, materials and enhancements that may be included in your benefits:
- Lenticular
Lenticular
An infrequently-used technology needed in situations that require a high-plus power that cannot be achieved with a traditional lens. This technology involves bonding one lens to the center of another to reach the correct power.
- Progressive
Progressive
Are you nearing the big 4-0 and finding reading more challenging? If so, you may benefit from a progressive lens. Also known as no-line bifocals, these lenses are a perfect marriage of form and function. With no lines across the lens, others won’t even know you’re wearing a multi-focal lens. They provide a graduated range of vision that varies from distance on the top to reading on the bottom. Along with the cosmetic appeal, this is a good lens choice for complete vision correction at all distances — distance, intermediate and near.
- Lens Options
- Lens Guide
There are 2 parts to your contact lens benefit: the lenses themselves and the process of appropriately fitting your contact lenses (called Fit and Follow-up exam). You still need an eye exam to check your overall eye health and general prescription, though contact lenses require different measurement and adjustment. You’d pay up to $55 for this additional standard exam; your benefit will cover the rest. When it comes time to order your contacts, you’re covered up to $130 for conventional lenses and receive 15% off the balance over $130.
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