EyeMed Vision
TABLE OF CONTENTS VISION Plan Summary 3 Flyers 4
additional complete pair of prescription eyeglassesnon-covered items, including non-prescription sunglasses 40%OFF20%OFFSUMMARY OF BENEFITS• 866.804.0982• eyemed.com• EyeMed Members App• For LASIK, call1.800.988.4221Heads UpYou may haveadditional benefits.Log intoeyemed.com/memberto see all plans includedwith your benefits.SAI360 Inc.Find an eye doctor(Insight Network)VISION CARESERVICESIN-NETWORKMEMBER COSTOUT-OF-NETWORKMEMBER REIMBURSEMENTEXAM SERVICESExam $10 copay Up to $40Retinal Imaging Up to $39 Not coveredCONTACT LENS FIT AND FOLLOW-UPFit and Follow-up - Standard Up to $40 Not coveredFit and Follow-up - Premium 10% off retail price Not coveredFRAMEFrame $0 copay; 20% off balanceover $130 allowanceUp to $91LENSESSingle Vision $25 copay Up to $30Bifocal $25 copay Up to $50Trifocal $25 copay Up to $70Lenticular $25 copay Up to $70Progressive - Standard $90 copay Up to $50Progressive - Premium Tier 1 - 3 $110 - 135 copay Up to $50Progressive - Premium Tier 4 $90 copay; 20% off retail priceless $120 allowanceUp to $50LENS OPTIONSAnti Reflective Coating - Standard $45 Not coveredAnti Reflective Coating - Premium Tier 1 - 2 $57 - 68 Not coveredAnti Reflective Coating - Premium Tier 3 20% off retail price Not coveredPhotochromic - Non-Glass $75 Not coveredPolycarbonate - Standard $40 Not coveredScratch Coating - Standard Plastic $15 Not coveredTint - Solid or Gradient $15 Not coveredUV Treatment $15 Not coveredAll Other Lens Options 20% off retail price Not coveredCONTACT LENSESContacts - Conventional $0 copay; 15% off balance over$130 allowanceUp to $130Contacts - Disposable $0 copay; 100% of balanceover $130 allowanceUp to $130Contacts - Medically Necessary $0 copay Up to $210OTHERHearing Care from Amplifon Network Discounts on hearing exam andaids; call 1.877.203.0675Not coveredLASIK or PRK from U.S. Laser Network 15% off retail or 5% off promoprice; call 1.800.988.4221Not coveredFREQUENCY ALLOWED FREQUENCY -ADULTSALLOWED FREQUENCY - KIDSExam Once every 12 months from thedate of serviceOnce every 12 months from thedate of serviceLenses Once every 12 months from thedate of serviceOnce every 12 months from thedate of serviceFrame Once every 24 months fromthe date of serviceOnce every 24 months fromthe date of serviceContact Lenses Once every 12 months from thedate of serviceOnce every 12 months from thedate of service(Plan allows the member to receive either contacts and frame, or frame and lens services)Fees charged by a Provider for services other than a covered benefit and any local, state or Federal taxes must be paid in full by the Insured Person to the Provider. Such fees, taxes ormaterials are not covered under the Policy. Allowances provide no remaining balance for future use within the same Benefit Frequency. Some provisions, benefits, exclusions orlimitations listed herein may vary by state. No benefits will be paid for services or materials connected with or charges arising from: medical or surgical treatment, services or suppliesfor the treatment of the eye, eyes or supporting structures; Refraction, when not provided as part of a Comprehensive Eye Examination; services provided as a result of any Workers'Compensation law, or similar legislation, or required by any governmental agency or program whether federal, state or subdivisions thereof; orthoptic or vision training, subnormalvision aids and any associated supplemental testing; Aniseikonic lenses; any Vision Examination or any corrective Vision Materials required by a Policyholder as a condition ofemployment; safety eyewear; solutions, cleaning products or frame cases; non-prescription sunglasses; plano (non-prescription) lenses; plano (non-prescription) contact lenses; twopair of glasses in lieu of bifocals; electronic vision devices; services rendered after the date an Insured Person ceases to be covered under the Policy, except when Vision Materialsordered before coverage ended are delivered, and the services rendered to the Insured Person are within 31 days from the date of such order; lost or broken lenses, frames, glasses, orcontact lenses that are replaced before the next Benefit Frequency when Vision Materials would next become available. This is a snapshot of your benefits. The Certificate of Insuranceis on file with your employer. Member receives a 20% discount on items not covered by the plan at In-Network locations. Discount does not apply to Provider's professional services, orcontact lenses. Plan discounts cannot be combined with any other discounts or promotional offers. In certain states members may be required to pay the full retail rate and not thenegotiated discount rate with certain participating providers. Please see online provider locator to determine which participating providers have agreed to the discounted rate.Discounts on vision materials may not be applicable to certain manufacturers' products. The Plan reserves the right to make changes to the products on each tier and the member out-of-pocket costs. Fixed pricing is reflective of brands at the listed product level. All providers are not required to carry all brands at all levels. Service and amounts listed above aresubject to change at any time. Discounts are not insured benefits. Underwritten by Fidelity Security Life Insurance Company of Kansas City, Missouri, Policy number VC-19, form numberM-9083, or Policy number VC-146, form number M-9184, in New York underwritten by Fidelity Security Life Insurance Company of New York, Policy Number VCN-1, form number MN-1,or Policy Number VCN-19, form number MN-28.
Ready to live your best EyeMed life?There’s so much more to your vision benefits than copays and coverage. Get ready to see the good stuff for yourself.Your network is the place to start See who you want, when you want. You have thousands of providers to choose from — independent eye doctors, your favorite retail stores, even online options.Keep your eyes open for extra discounts Members already save an average 71% off retail using their EyeMed benefits,1 but our long list of special offers takes benefits even further.Remember, you’re never alone We’re always here to help you use your benefits like a pro. Stay in-the-know with text alerts or healthy vision resources from the experts. If it can make benefits easier for you, we do it.Create a member account at eyemed.com Everything is right there in one spot. Check claims and benefits, see special offers and find an eye doctor — search for one with the hours, location and brands you want. For maximum mobility, try the EyeMed Members App (Google Play or App Store).PDF-2004-M-3771 Based on weighted average of sample transactions; EyeMed Insight network/$10 exam copay/$10 materials copay/$120 frame or contact lens allowance.
EYEMED APPEmployees on the go? Now their benefits are, too.Our revamped EyeMed App brings fresh new features to help employees get the most from their EyeMed experience — anytime, anywhere.FEATURES MEMBERS LOVE PLUS NEW FEATURES TO EXPLORE:• Benefits and eligibility• Claims tracking• Special offers to help members save more• Provider Locator to find in-network eye doctors• ID card at-a-shake• Upcoming exam reminders• Contact lens replacement reminders• Wellness interactives to help members see and live their best• Facial Recognition, Touch ID and Apple Wallet for Apple users• Helpful FAQsARE EMPLOYEES STILL USING THE OLD APP?Make sure to let employees know they should snag the newest version with our latest features now as technical support for the old version ends soon. PDF-2009-C-659Employees can download the new app from App Store or Google Play
PDF-2009-M-631EYEMED MOBILE APP On the go? Now your benefits are, too.NEW LOOK. FRESH FEATURES. SAME GREAT BENEFITS, WHENEVER YOU NEED THEM.Our revamped EyeMed Mobile App brings you fresh new features to help you get the most from your EyeMed experience — anytime, anywhere. The features you love plus new features to explore• See benefits and eligibility at-a-glance• Track your claims• Grab special offers to help you save more• Find an in-network eye doctor with the Provider Locator• View your ID card at-a-shake• Set upcoming exam and contact lens replacement reminders• Get answers to your FAQs• Access interactive vision guides to help you see and live your best• Use Facial recognition, Touch ID and Apple Wallet for Apple usersUSING THE OLD APP? Make sure you download the newest version of the app to keep up with our latest features, as older versions will no longer be supported. Download the new app, enter your existing login info (no need to re-register) and you’re all set.Check out the App Store or Google Play to download the new app
BRINGING IT ALL INTO FOCUSTime for a little Q&AA LOOK AT THE BENEFITSWhat exactly do my EyeMed benefits cover?If you’re thinking about EyeMed, you’ll want to connect with your employer to learn about the benefit options. Already a member? The easiest way to find your benefit information is to create a member account on eyemed.com or grab the EyeMed Members App (App Store or Google Play).Does EyeMed offer any extra discounts? We sure do. At participating in-network providers, members get 40% off an extra pair of eyeglasses or 20% off a partial pair (lenses only or frames only).* You also get 20% off non-prescription sunglasses and accessories, and discounts on LASIK laser vision correction. Call 1.800.988.4221 to find a LASIK location near you. Can I use EyeMed benefits online?Instantly apply your in-network benefits at checkout, with free shipping, free returns and no paperwork at these participating providers: lenscrafters.com, targetoptical.com, ray-ban.com, glasses.com and contactsdirect.com.Can I get the same kind of care with a retail provider as I can with an independent doctor?Many optometrists share space with a retail optical store, but operate a separate practice. All of them, wherever they practice, must meet the same state licensing and credentialing requirements. One advantage of using a vision carrier, like EyeMed, is that credentials of every in-network eye doctor are thoroughly examined and verified, so you can feel confident you’re getting access to qualified eye doctors.MEMBER HOW-TO TIPSHow do I use my benefits?At EyeMed, we’re all about easy. Just choose an in-network eye doctor from our Enhanced Provider Search, schedule your visit and go in for care or eyewear. You don’t even need your ID card — just give them your name and birthday. When you stay in-network, we’ll handle all the paperwork.How do I find an eye doctor in my network?The Enhanced Provider Search on Member Portal and the EyeMed Members App has thousands of in-network eye doctors to choose from. Filter your search to find ones near you with the brands, hours and services you most want.
PDF-1903-M-93How do I get on-the-go access?The EyeMed Members App can do almost everything that Member Portal can. Find an eye doctor, set an appointment, review your benefits, check claims, find special offers, show your ID card—even store your vision prescriptions and set exam reminders. Download it through the App Store or Google Play. How do I submit a claim?When you see one of our in-network eye doctors, you won’t have to; we take care of all the paperwork. By the way, you’ll save money by staying in-network, too. If you need an out-of-network claim form, log into your member account to find one.How do I get an ID card replacement or extra cards?If you lose your card or need extras for your family, log into eyemed.com to print a replacement, or use your digital ID on the app. Here’s a tip: you don’t even need the card when you visit your eye doctor.VISION AND YOUR HEALTHI don’t wear glasses and can see fine. Do I still need an eye exam?Getting an eye exam isn’t just about needing glasses. It’s also about your health. An eye exam can detect eye health problems like glaucoma or cataracts, but it can also help identify early signs of serious diseases, like high blood pressure, diabetes and high cholesterol—just to name a few.1 How often should I get an eye exam?Vision changes can happen slowly—you may not even notice it. Annual eye exams are a good rule of thumb unless your doctor suggests more frequent checks; we suggest making it part of your regular preventive care routine. At what age should my child first visit the eye doctor? The American Optometric Association recommends a first eye exam between 6 months and 1 year of age. The doctor may check for nearsightedness, farsightedness, astigmatism, amblyopia (or “lazy eye”), proper eye movement and eye alignment, and how the eye reacts to light and darkness. They also recommend an exam between the ages of 3 and 5, and every year after that. My child gets a vision screening at school, so there’s no need for an eye exam, right?A vision screening does not take the place of a comprehensive eye exam. School screenings generally check for color blindness and your child’s ability to see far away. A comprehensive exam will evaluate the entire structure of the eye.Thinking of becoming a member? Learn more at enroll.eyemed.comLooking to stay healthy with vision? Learn how at eyesiteonwellness.comAlready a member? Manage benefits at *Discounts are for in-network providers only. Benefits may not be combined with any discount, promotional offering, or other group benefit plans. Additional limitations and exclusions may apply. Log into your member account for full details. 1 “5 Health Problems Eye Exams Can Detect,” YourSightMatters.com, March, 2016. “Comprehensive pediatric eye and vision examination”; (2017 guideline brief); American Optometric Association; https://www.aoa.org/Documents/AOA%20Executive%20Summary%20Pediatric%20Eye%20Exam%20Guidelines%20Revised%2003.05.18.pdfeyemed.com
S-2302-CB-079Getting more bang for their buckSPECIAL OFFERS FOR MEMBERSLearn more about how we make vision benefits easy to use — Contact your EyeMed rep or visit eyemed.comMembers can easily find lots of great discounts and deals for a variety of vision related products and services on the Special Offers page of Member WebSpecial offers are also featured in our Provider Locator — making it easy for members to see where they can save the most. It’s just one more way we make it super simple for members to get the most out of their EyeMed membership while reducing costs. And everything is tied into our mobile app so they can access these savings anytime while on-the-go. All employees need to do is create a free Member Web account — no action is needed by the employer. Savings offers rotate quarterly and can sometimes be combined with the member’s employee benefit.OUR SPECIAL OFFERS PAGE PROVIDES MEMBERS-ONLY DISCOUNTS ON THINGS LIKE:Eye examsFrames and lensesContactsOther vision services and items
PDF-1801-M-123INNOVATIVE ANSWERS FOR SAVVY SPENDERS Keep an eye on your moneyMEMBERS-ONLY SPECIAL OFFERSYou deserve special savings just for being an EyeMed member. So we've developed a page on eyemed.com that only registered members can see. It’s the latest list of special offers for vision-related products and services. A mix of member discounts and extra savings that give your benefits a boost. So you can keep your eyes healthy and save some cash while you’re at it.UNLOCK YOUR OFFERS IN MINUTESJust go to eyemed.com, register and you’re set to shop the savings. And if you have the EyeMed Members App, pull up the offer at the store — no printing!New offers are added often, so check before you go.• Discounts on frames and lenses• Savings on contacts • Exclusive offers from network providers and retailers • Free shipping from online providers• Free vision products, like lens cleaner kits and more, all from trusted EyeMed network providersSEE THE GOOD STUFFRegister on eyemed.com or grab the member app (App Store or Google Play) now
PDF-2105-M-370INNOVATIVE ANSWERS FOR TOTAL HEALTH & WELLNESSHear all the sweet sounds of life Hearing loss is more common than you might think. It affects 1 in 9 Americans1 and can come on so gradually you may not even notice it. But the good news is 95% of hearing loss can be easily treated with hearing aids.1 That’s why we give you access to affordable hearing care discounts through Amplifon, the nation’s largest independent hearing discount network — so you can enjoy all of life’s sights and sounds. YOUR HEARING DISCOUNT THROUGH AMPLIFON INCLUDES:64% off hearing aids at thousands of convenient locations nationwide2Discounted, set pricing on thousands of hearing aids60-day hearing aid trial period with no restocking feesFree batteries for 2 years with initial purchase3-year warranty and loss and damage coverageCall 877.203.0675 to find a hearing care provider near you and schedule a hearing exam today. SEE THE GOOD STUFF Register on eyemed.com or grab the EyeMed app (App Store or Google Play) 1 https://www.amplifonusa.com/hearing-loss 2 Savings based on Amplifon Hearing Health Care average member savings data for 2020
GET MORE VALUE WITH15% OFFstandard LASIK prices *5% OFFpromotional LASIK prices *ORGET MORE CHOICE Outstanding access to more than 600 locations nationwideLASIK providers meet stringent credentialing standards Our members see savings every day with LASIK providersPDF-1611-M-654This is not insurance. Please note that laser vision correction is an elective procedure, performed by specially trained providers. This discount may not always be available from a provider in your immediate location. In the state of Texas, EyeMed Vision Care, LLC is the Discount Health Operator offering the LASIK vision discounts.EyeMed members served through the U.S. Laser Network owned and administered by LCA-Vision, Inc.*May not be combined with any other discount**Additional costs may vary; exclusions may apply.Find a LASIK location at eyemedlasik.com, or call 1-800-988-4221.• FREE** LASIK exam (more than $100 value) • FREE** lifetime enhancements on most procedures