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     Vision Insurance – EyeMed
     
     
     
     
     
    eyemed                  girl
     
     
     
    Vision Plan Coverage Provided by EyeMed
     
    1-800-521-3605
     
     
     
     
    About Your Vision Care Policy:
    • In network optometrist, ophthalmologist, or retail locations give best savings
    • Members can use non-network providers. Non-network providers must be paid at time of appointment and member must submit for reimbursement

     

    Regular Plan:

    • $10 co-pay for exams and a $15 co-pay for single, bifocal, trifocal, lenticular lenses
    • Exams available every 12 months, lenses or contact lenses every 12 months, new frames every 24 months
    • Contact lenses - $130 allowance, 15% off balance over $130 for conventional lenses
    • Frames - $130 allowance, 20% off balance over $130
    • Discounts on additional eyewear purchases; non-prescription sunglasses; laser vision correction procedures
     
    High Plan: 
    • $0 co-pay for exams and a $0 co-pay for single, bifocal, trifocal, lenticular lenses
    • Exams available every 12 months, lenses or contact lenses every 12 months, new frames every 12 months
    • Contact lenses - $170 allowance, 15% off balance over $170 for conventional lenses
    • Frames - $170 allowance, 20% off balance over $170
    • Discounts on additional eyewear purchases; non-prescription sunglasses; laser vision correction procedures
     
     
    EyeMed Resources: 
    • Need to Print an ID Card, Check Claim Status or View Your Benefit Details? Here's How.
    • Out-of-Network Claim Form to use when filing for reimbursement
      • Please complete the claim form and return it with an itemized receipt (with patient’s name listed or handwritten) and send to: oonclaims@eyemed.com, or mail to EyeMed Vision Care, Attn: Out of Network Claims, PO BOX 8504, Mason, OH 45040.  
     
     
    To locate a Vision Provider: 
    • Go to www.eyemedvisioncare.com
    • Enter Zip Code or select Use My Location
    • Click on Find a Provider
    • Under Choose Network, choose Select
     
    ContactsDirect: 
     
     
    EyeMed Member App:app
     
    Now you can access the benefit details you need – when and where you need them. This free mobile app makes it simpler than ever. Just download the “EyeMed Members” App through the Apple® iTunes store or Google Play. This helpful new app lets you:
     
      
    • Search for providers in the network
    • Get turn-by-turn directions from your location, or simply click to call
    • View a copy of your ID card, so it's handy when you visit your provider
    • Find answers to common questions
    • Contact EyeMed with additional questions      
     
     

     

    2019 Regular Plan Rates

    COVERAGE

    PER PAYCHECK

    Employee

    $4.10

    Employee + 1

    $8.36

    Employee +Family

    $15.69

     

    2019 High Plan Rates 

    COVERAGE

    PER PAYCHECK

    Employee

    $8.37

    Employee + 1

    $17.05

    Employee +Family

    $32.00


     

    This is a voluntary benefit and the premiums are paid by the employee, if coverage is elected. The premiums listed above are per paycheck.

     
     
    Dependent Eligibility
     
    Spouse - An individual to whom you are legally married.
    Children - Your child or stepchild to age 30.