Eyemed Insurance Coverage: What You Need to Know

Eyemed insurance coverage is a type of insurance that covers your eye care needs, including vision exams, glasses, and contact lenses. It’s important to know what is and isn’t covered under your Eyemed plan, so you can make the most of your benefits. In this article, we’ll go over everything you need to know about Eyemed insurance coverage.

What is Eyemed Insurance Coverage?

Eyemed is a vision insurance company that provides coverage for vision exams, glasses, and contact lenses. It’s important to note that Eyemed is not a health insurance company, and you will still need separate health insurance for medical issues that affect your eyes.

Eyemed coverage is typically provided through your employer or other group plan, but individual plans are available as well. Depending on your plan, you may have coverage for exams, lenses, frames, and contacts.

What Does Eyemed Insurance Cover?

The coverage provided by Eyemed depends on the specific plan you have. However, most plans cover the following:

It’s important to note that these are general guidelines, and your specific plan may have different coverage amounts, frequency limits, or copays.

What’s Not Covered by Eyemed Insurance?

While Eyemed covers many vision care needs, there are a few things that are typically not covered by their plans. These include:

• Lasik surgery or other refractive procedures
• Non-prescription eyewear, such as sunglasses
• Medical treatments for eye conditions or diseases, such as cataracts or glaucoma
• Experimental treatments or procedures

If you need coverage for these types of services, you may need to look into separate insurance or pay out of pocket.

How to Use Your Eyemed Insurance Coverage

Using your Eyemed coverage is easy. Here’s what you need to do:

1. Schedule an appointment with an Eyemed provider. You can find a provider in your area by visiting the Eyemed website.
2. Show your Eyemed insurance card at your appointment.
3. If you have a copay, pay it at the time of your appointment.
4. Receive your service or product, and enjoy your improved vision!

It’s important to note that you must use an Eyemed provider to receive coverage. If you go to an out-of-network provider, you may have to pay out of pocket or only receive partial coverage.

Frequently Asked Questions

How do I know if I have Eyemed insurance coverage?

If you’re not sure if you have Eyemed insurance coverage, check with your employer or insurance provider. They can provide you with your specific coverage details.

Can I use Eyemed insurance coverage for online purchases?

Yes, you can use your Eyemed insurance coverage for online purchases, as long as you purchase from an Eyemed provider.

Can I use my Eyemed insurance coverage for non-prescription glasses or contacts?

No, Eyemed insurance coverage only applies to prescription glasses and contacts. Non-prescription eyewear is not covered.

Do I need a referral to see an Eyemed provider?

No, referrals are not required to see an Eyemed provider.

What happens if I need services that are not covered by Eyemed?

If you need services that are not covered by Eyemed, you may need to pay out of pocket or look into separate insurance coverage.

Conclusion

Eyemed insurance coverage can be a valuable benefit for those who need vision care. By understanding what is and isn’t covered under your plan, you can make the most of your benefits and improve your vision without breaking the bank. Remember to always use an Eyemed provider to receive coverage, and don’t hesitate to reach out to your employer or insurance provider if you have any questions about your specific coverage details.