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EyeMed Vision Insurance - Effective Jan 1, 2023

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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.

Summary of 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.