EyeMed Vision Care

Main Content

Vision coverage is provided at no additional costs to members enrolled in any of the State-sponsored health plans. All members and enrolled dependents have the same vision coverage regardless of the health plan selected. Eye exams are covered once every 12 months from the last date the exam benefit was used. All other benefits are available every 24 months from the last date used. Copayments are required.

EyeMed Vision Care
Out of Network Claims
PO Box 8504
Mason  OH  45040-7111
(866) 723-0512 
(800) 526-0844 (TDD/TTY)
www.eyemedvisioncare.com

To locate providers, to find out when you are eligible to go for your next visit, and to get Out-of-Network provider reimbursement forms visit EyeMed's website at www.eyemedvisioncare.com. 

FY2015 Vision Benfits
Service Covered
In-Network Benefit
Out-of Network Maximum Benefit**
Benefit Frequency
Eye Exam
$25 co-payment
$30 Allowance
Once every 12 months
Frames
$25 co-payment; up to $175 retail frame cost
$70 Allowance
Once every 24 months

Spectacle Lenses*

  • Single Lenses
  • Bifocal Lenses
  • Trifocal Lenses
$25 copayment

$50 Allowance for single vision lenses

$80 allowance for bifocal and trifocal lenses
Once every 12 months

Contact Lenses

All contact lenses are in lieu of spectable lenses.
$120 Allowance
$120 Allowance
Once every 12 months
 
FY2014 Vision Benefits
Service Covered
In-Network Benefit
Out-of Network Maximum Benefit**
Benefit Frequency
Eye Exam
$20 co-payment
$30 Allowance
Once every 12 months
Frames
$20 co-payment; up to $175 retail frame cost
$70 Allowance
Once every 24 months

Spectacle Lenses*

  • Single Lenses
  • Bifocal Lenses
  • Trifocal Lenses
$20 copayment

$50 Allowance for single vision lenses

$80 allowance for bifocal and trifocal lenses
Once every 24 months

Contact Lenses

All contact lenses are in lieu of spectable lenses.
$120 Allowance
$120 Allowance
Once every 24 months

Lasik and PRK Benefit: EyeMed provides all EyeMed Vision Care members with a laser vision correction benefit.  Call 1-877-5LASER6 to begin the process of using your benefit.

*Spectacle Lenses: Plan participant pays any and all optional lens enhancement charges.  Network providers may offer additional discounts on lens enhancements and multiple pair purchases.

**Out-Of-Network claims must be filed within one year from the date of service.