Table of Contents
- What is EyeMed?
- What does EyeMed cover?
- Are medically necessary contacts for dry eye or keratoconus covered by EyeMed?
- Does EyeMed cover diabetic eye exams?
- Does EyeMed cover refractive surgery (LASIK or PRK)?
- How do I locate an EyeMed provider?
- What if my provider is not in-network with EyeMed?
- Is EyeMed Vision Insurance right for you?
- How much does EyeMed cost?
Do you have EyeMed Vision Insurance? Maybe you’re shopping for vision insurance and want to learn more about what EyeMed has to offer! In this article, I’ll provide you with exactly what you need to know about EyeMed Vision Insurance, including what it covers, who takes it, how much it costs, and more!
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What is EyeMed?
EyeMed Vision Care is the fastest-growing vision benefits company in the United States. Owned by Luxottica, the insurance company launched in 1988 and is dedicated to helping members achieve better, healthier vision by giving them access to qualified doctors and the most expansive network of providers.
What does EyeMed cover?
Your eye health and vision are very important to how you live your daily life. Unfortunately, eyeglasses can be expensive! This is especially the case when you factor in certain features like anti-glare, UV protection, photochromic lenses, and premium progressives.
Depending on the EyeMed plan you select, you could have these important add-ons covered in full or at a discount. This helps you get the best bang for your buck without hurting your budget.
In fact, according to EyeMed, their members can save up to 71% on eye care products and services.
Did you know EyeMed has a provider network of over 44,000 providers nationwide? As a result, they can provide you with access to high-quality eye care at a fraction of the cost. In fact, with EyeMed, there is a good chance you’ll only be responsible for only a small copay for your eye exam.
Frames and lenses
As with other vision insurances, you will have copays ranging from $0 – $25 for single vision lenses. Also, you’ll have the option to add on important features like anti-glare, UV protection, transition lenses, and premium progressives.
Depending on your plan, EyeMed may offer you an allowance (or a percentage discount) towards glasses. When using in-network providers, EyeMed members receive a 40% discount off a complete pair of second eyeglass purchases and a 20% discount off non-prescription sunglasses and accessories.
Another feature on most EyeMed plans is coverage for contact lens fittings and materials. With all EyeMed plans you will have a copay for a contact lens fitting and then an allowance for contact lens materials. When using in-network providers, members receive a 15% discount off conventional contact lenses.
Note: As with all other vision insurances, you will have to choose to use your benefits towards glasses OR contact lenses.
Are medically necessary contacts for dry eye or keratoconus covered by EyeMed?
Fortunately, some EyeMed plans will cover your medically necessary contact lens fitting and contact lenses in full. If they don’t, you will be responsible for the service and contact lenses out of pocket.
Does EyeMed cover diabetic eye exams?
Through your employer, you may be eligible to sign up for a diabetic eye care plan. Unfortunately, this plan is not available on the EyeMed individual marketplace. Furthermore, medical insurance can be used to have a comprehensive diabetic eye exam to detect diabetic retinopathy.
Does EyeMed cover refractive surgery (LASIK or PRK)?
No. However, LASIK is offered at a 15% discount off the retail price or 5% off the promotional price for LASIK or PRK from the U.S. Laser Network. This is simply an additional discount you receive as an EyeMed member.
How do I locate an EyeMed provider?
With over 44,000 providers, EyeMed has the largest eye care provider network in the country. Doctors located at (some) private practices, LensCrafters, Target Optical, Pearle Vision, and Sears Optical are typically in-network with EyeMed.
To find an EyeMed provider, pull up the EyeMed Provider Locator to research providers in your area. There you can specify a location, provider name, network, language, specialty, gender, frame brands, accepting new patients, hours/scheduling, services, and products.
Let’s dive a little deeper into the criteria you’re able to search by.
Access, Insight, Select, and Advantage are the 4 different EyeMed insurance networks. You can find the name of your network on your ID card or open enrollment materials.
Members can search for opticals by the following frame brands:
Accepting new patients
Find eye doctors that are accepting new patients.
Hours and scheduling
Find eye doctors that accommodate evening and weekend appointments as well as online exam scheduling.
Find eye doctors by searching for the following services:
- Eye exams
- Same day single vision – Single vision lenses available on the same day they are ordered
- Same day multifocal (progressive) lenses – Multifocal lenses available on the same day they are ordered.
- Advanced digital eye exam – A more advanced and precise digital eye exam that uses the latest state-of-the-art digital exam equipment. May identify certain health conditions early such as cataracts, diabetes, macular degeneration, and other health issues. Maps the unique fingerprint of your eyes to precisely pinpoint your prescription, for both day and night vision.
- Retinal imaging – A high-resolution picture of the inside of your eye that helps uncover early signs of glaucoma, diabetic retinopathy, macular degeneration, and even hypertension and high cholesterol.
- Digital optical measurements – Advanced technology that digitally measures your face and frame details in order to place your prescription in your lenses exactly where you need it to see your best.
- Pediatric care – Eye care and testing for children under 10 to identify and treat a wide variety of childhood eye conditions. The EyeMed pediatric benefit can be used at these providers.
- Low vision – Services, equipment, and care for patients with severe visual problems that cannot be corrected with eyeglasses or contact lenses.
Find eye doctors by searching for the following products:
- Contact lenses
- Sports eyeglasses – Prescription eyewear specifically designed for use during sports and recreational activities.
- Safety eyeglasses – Prescription safety eyewear that meets the standards and certifications of the American National Standards Institute. The EyeMed Safety Benefit can be used at these providers.
What if my provider is not in-network with EyeMed?
You are able to see any provider you would like, however, if the provider is out-of-network you may have to pay in full at the time of service and then submit your claim on your own for reimbursement.
Doctors located at (some) private practices, Wal-Mart, Sam’s Club, Costco, and VisionWorks are typically out-of-network with EyeMed.
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Is EyeMed Vision Insurance right for you?
- A large network of doctors to choose from
- Depending on the plan, upgrades on lenses may be covered
- Most plans cover medically necessary contact lenses
- Very easy for doctors offices to verify benefits using name and date of birth
- Glasses and contact lenses are typically not covered 100%
- An EyeMed Lab must be used in order to use your insurance, which can delay your glasses being made
- Many independent practices are dropping EyeMed since it does not reimburse as well
- EyeMed recommends Luxottica practices over other offices for your eye exam since Luxottica owns them
How much does EyeMed cost?
EyeMed is available to individuals in 42 states and can vary in cost, especially if you are signing up as an individual or with a company. Also, there are an array of plans to sign up for which range $5 a month (individual discount plan) to $90 a month (family plan).
You can sign-up online without any enrollment fees and start taking advantage of the benefits on your selected enrollment date. Also, some states allow a 5% savings if the annual payment is made in full.
In the end, taking care of your eye health and wellness should be at the top of your health priority list! With its large provider network, exceptional coverage, and extensive member resources, EyeMed Vision Insurance is one of the best vision insurances on the market!
Interested in learning more? Visit EyeMed’s website for more information.
Do you have EyeMed Vision Insurance? Leave your review in the comments below!