Common Member Questions

Here you’ll find the answers to some common member questions.

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 Using the EyeMed Benefit   |    The EyeMed Provider Network

Using the EyeMed Benefit

Q. How do I use my benefit?

A. Using the EyeMed benefit at a network provider is easy:

1. Locate a network provider
2. Schedule an appointment – don’t forget to let the scheduler know you have EyeMed
3. Show your ID card at the time of your appointment
   

The provider’s staff will do the rest! You will only pay for any copays indicated, as well as any applicable amounts over the allowances. Your provider will provide you with these amounts.

The process varies slightly if you decide to use a non-network provider. Visit the Using Your Benefits page for more information.

Q. Do I need to file a claim?

A. No, you will not file claims if you use an in-network provider. If your plan offers out-of-network benefits and you decide to go to an eye care provider not on EyeMed’s panel, you will need to use an out-of-network claim form.



Q. Where can I find an out-of-network claim form?

A. You can download EyeMed's out-of-network claim form (.pdf). Some plans have custom out-of-network claim forms, which can be obtained by logging into the secure member site.



Q. Can I view my benefits online?

A. Yes. When you register on the EyeMed Web site, you can view your plan benefits and eligibility status.


Q. How can I check on the status of a claim?

A. If you used your benefits at an EyeMed provider, you should not need to check the status of a claim, as we will work with the provider directly. If you filed an out-of-network claim, please contact our Customer Care Center at 866-9EYEMED. Have your member ID available for faster service.


Q. How do I request additional ID cards?

A. If you need more ID cards, you can request one by registering or logging into this site, or call our Customer Care Center at 866-9EYEMED.


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. If you have your card, we recommend you take it with you, as it helps the provider correctly apply your discount or benefit. However, if you don't have a card, simply let the provider office staff know that you are an EyeMed member, and they can verify your plan details and eligibility for you. To request a replacement ID card, you can log in to the secure member area of our site and order a new one.




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The EyeMed Provider Network

Q. How do I find a provider who accepts my EyeMed plan?

A. You can find a provider by using our online Provider Locator or through the following methods:

• Refer to the Member Brochure you received upon enrolling in the program. It includes a list of providers near your home.
• Call the Customer Care Center at 866-9EYEMED to use our automated voice response system or speak with a representative.
• Ask your preferred eye care provider if he or she accepts EyeMed.

Q. How do I refer a provider?

A. EyeMed welcomes applications from eye care providers not currently on the panel. If you would like to refer a particular eye doctor or dispensing facility, you can complete a provider nomination form (.pdf) or call the Customer Care Center at 866-9EYEMED.



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