EyeMed Vision Insurance
EYEMed
Group #1040307
Customer Service - 866-723-0513
Find plan documentation and resources for EyeMed
Introducing EYE360
EYE360 provides enhanced benefits when members visit a PLUS Provider - a select group of providers in the EyeMed network. EYE360 focuses on health, simplicity, and savings. Best of all, the perks are built into the vision plan. No promo codes or paperwork is required to receive the enhanced benefits.
With Eye360, members receive $0 copay eye exams and an additional $50 frame allowance at PLUS Providers—on top of their base plan's benefits. And when combined with other offers and discounts, it adds to significant savings.
The Network
It's easier than ever for members to find their perfect provider. EYEMed's Enhanced Provider Search lets you search by:
- Proximity to home or workplace
- Hours of operation
- Available frame brands and products
- Specialty services, such as retinal imaging of digital eye exams
For greater savings, choose a Plus Provider. There are over 4,000 nationwide, including independent, retail and online options, and members will find plenty of locations nearby.
Online Benefits
Convenient online shopping offers:
- Wide selection of top-selling name-brands
- Lenses and contacts available for just about any prescription
- User-friendly experience shows members exactly what their benefits pay for
- Easy prescription verification — snap and send a picture
- Free shipping and returns
- Photorealistic 3D virtual "try-on" technology for frames at Glasses.com
Online retailers include LensCrafters, TargetOptical, Ray Ban, Glasses.com, and contactsdirect
Travel Benefits
EYEMed has trusted providers around the world to make sure you get the help you need when a vision emergency occurs.
International travel solution provides:
- 24/7 support - Call EYEMed member services to find the nearest trusted provider. Their number is
- Get temporary, and adjustable eyewear delivered next-day* in case of an emergency
- Choose from a worldwide directory of trusted providers who sell authentic name-brand frames, with translation services in 160 languages for help during the appointment
- Submit claims for out-of-network exams and materials reimbursement by filling out an online form and submitting a photo of the receipt
*Delivered within 24 hours in most cases. Availability is based on the domiciled state of your plan benefits.
| VISION CARE SERVICES | IN-NETWORK MEMBER COST AT PLUS PROVIDERS | IN-NETWORK MEMBER COST | OUT-OF-NETWORK MEMBER REIMBURSEMENT |
|---|---|---|---|
| EXAM SERVICES | |||
| Exam | $0 copay | $10 copay | Up to $45 |
| Retinal Imaging | $10 copay | $10 copay |
Up to $20 |
| Low vision Supp Testing/Exam | $0 | $0 | Up to $125 |
| CONTACT LENS FIT AND FOLLOW-UP | |||
| Fit and Follow-up - Standard | Up to $55 | Up to $55 | Not covered |
| Fit and Follow-up - Premium | 10% off the retail price | 10% off the retail price | Not covered |
| FRAME | |||
| Frame | $0 copay;20% off balance over $200 allowance | $0 copay;20% off balance over $150 allowance | Up to $105 |
| LENSES | |||
| Single vision | $25 copay | $25 copay | Up to $35 |
| Bifocal | $25 copay | $25 copay | Up to $55 |
| Trifocal | $25 copay | $25 copay | Up to $90 |
| Lenticular | $25 copay | $25 copay | Up to $90 |
| Progressive - Standard | $25 copay | $25 copay | Up to $50 |
| Progressive - Premium | $105 - $185 | $105 - $185 | Up to $50 |
| LENS OPTIONS | |||
| Anti-reflective Coating - Standard | $35 copay | $35 copay | Up to $23 |
| Anti-reflective Coating - Premium Tier 1 - 3 | $35 copay | $35 copay | Up to $23 |
| Polycarbonate - Standard | $40 | $40 | Not covered |
| Polycarbonate - Standard <19 years of age | $0 copay | $0 copay |
Up to $20 |
| Scratch Coating - Standard Plastic | $15 | $15 | Not covered |
| Tint - Solid and Gradient | $0 copay | $0 copay | Up to $8 |
| UV Treatment | $0 copay | $0 copay | Up to $8 |
| All Other Lens Options | 20% off the retail price | 20% off the retail price | Not covered |
| CONTACT LENSES | |||
| Contacts - Conventional | $0 copay; 15% off balance over $150 allowance | $0 copay; 15% off balance over $150 allowance | Up to $105 |
| Contacts - Disposable | $0 copay; 100% balance over $150 allowance | $0 copay; 100% balance over $150 allowance | Up to $105 |
| Contacts - Medically Necessary | $0 copay | $0 copay | Up to $300 |
| OTHER | |||
| Low Vision Aids | 25% copay up to $1000 allowance | 25% copay up to $1000 allowance | 25% copay up to $1000 allowance |
| Hearing Care from Amplifon Network | Up to 64% off hearing aids; please call this number 1-877-203-0675 | Up to 64% off hearing aids; please call this number 1-877-203-0675 | Not covered |
| LASIK or PRK from US Laser Network | 15% off retail or 5% off promo price. please call 1-800-988-4221 | 15% off retail or 5% off promo price. please call 1-800-988-4221 | Not covered |
| FREQUENCY | ALLOWED FREQUENCY - ADULTS | ALLOWED FREQUENCY - KIDS |
|---|---|---|
| Exam | Once every plan year | Once every plan year |
|
Lenses |
Once every plan year | Once every plan year |
| Frame | Once every plan year | Once every plan year |
| Contact Lenses | Once every plan year | Once every plan year |
The plan allows the member to receive contacts and frame or frame and lens services.