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Help and Resources

Frequently Asked Questions Page

Q. How can I find a network provider?

A. Using the benefit at a network provider is easy. Locate a provider that is part of the EyeMed network by visiting "Locate a Provider" and then entering either your zip code or street address. (You can also call EyeMed at 855-779-5046.)

Q. How can I register to see my account?

A. Click here for step by step registration instructions

Q. How often can I get an eye exam?

A. On either plan, you can have an eye exam once every calendar year. You can get standard plastic/glass lenses or contacts once every calendar year and frames once every two calendar years.

Q. How does the frame allowance work?

A. If you choose the Basic plan and if you use a network provider, you will not have to pay anything for your frames if they cost $50 or less. If the frames are over $50, you will get a 20% discount on the balance of the monies you owe. If you choose the Expanded plan and if you use a network provider, you will not have to pay anything for your frames if they cost $115 or less. If the frames are over $115, you will get a 20% discount on the balance of the monies you owe.

Q. My doctor is not listed in the EyeMed network? Can I still get some reimbursement if I continue to see him?

A. You can get an eye exam at your non-network provider but your benefit will be much less than if you used a network provider. You might want to consider filling your vision prescription at one of EyeMed's network providers in order to save money. If you are seeing the doctor for a medical reason (other than a routine eye exam), the charges will have to be submitted to your medical plan.

Q. Do I need to file a claim?

A. No, you will not file claims if you use an in-network provider. However, if you do not use a network provider you will need to file an out-of-network claim form.

Q. How do I request additional ID cards?

A. If you need more ID cards, you can print additional cards from the EyeMed website here. You can also request additional cards be mailed to you by calling the EyeMed Customer Care Center at 855-779-5046.

Q. Do I need my ID card in order to use my benefit or discount?

A. No, you do not need your ID card in order to use your EyeMed plan. Once you have your card, we recommend taking it with you because it saves time and helps the provider correctly apply your benefit. However, if you have lost your card, simply let the provider's office staff know that you are an EyeMed member and they will verify your eligibility and plan details for you. To print a replacement ID card, click here or call the EyeMed Customer Care Center at 855-779-5046 to have a new one mailed to you.

Q. How will my provider verify that I am a member?

A. An ID card is not required to receive benefits at the provider's office. The provider will search for your eligibility and benefits by your name and then verify your address, date of birth and your subscriber's employer.

Q. How will my provider know if I have used all of my benefits?

A. An in-network provider will locate the your record within the EyeMed system and verify that benefits are available prior to your appointment.

Q. How can I request that my provider be added to the EyeMed network?

A. If your provider is not currently participating on the EyeMed network, you can recommend them by asking your provider to submit a Provider Nomination Form. The form, including instructions, can be found here.

Q. What if I need to see a provider outside of Tennessee?

A. The EyeMed network is national. You can locate in-network providers throughout the United States by visiting "Locate a Provider" on this web site and they will submit all claims for you.

Q. Does a deductible or out-of-pocket maximum apply for vision benefits?

A. No deductible or out-of-pocket maximum applies to the vision benefit. There are specific allowances and copays for materials as specified in your plan.

Q. Who do I contact with questions about my claim and how it was paid?

A. You can contact the EyeMed Customer Care Center with any questions pertaining to your claim, 855-779-5046.

Q. What are the hours for the EyeMed Customer Care Center?

A. The EyeMed Customer Care Center is open Monday through Saturday, 6:30am to 10:00pm CT and Sunday 10:00am to 7:00pm CT.

Q. Can I use a portion of my allowance during the calendar year and then use the remaining balance during that same calendar year?

A. Benefit allowances provide no remaining balance for future use within the same Benefit Frequency.

 

Need assistance? Call the Customer Care Center at 855-779-5046 to speak to a live representative Monday through Saturday 7:30 AM to 10:00 PM CT and Sunday 10:00 AM to 7:00 PM CT.

2013 EyeMed Vision Care LLC. All Rights Reserved. All third-party logos are the property of their respective owners.


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