|
|  | |
| |
| VISION |
 |
| How the
Plan Works |
The amount of your benefit differs when you receive your vision care
services from an EyeMed provider or from a non-EyeMed provider. When
you receive your vision care services from an EyeMed provider, you will
receive the in-network benefit level. If you do not use an EyeMed provider,
you will receive the lower, out-of-network benefit level, which is paid
in the form of an allowance.
When you need eyecare services, here are the steps to take:
-
Call your EyeMed doctor and make an appointment.
To locate a participating doctor in your area, log on to www.enrollwitheyemed.com/access
or call 1-866-723-0596.
-
Tell the EyeMed doctor that you are a Valassis associate
and provide your EyeMed Identification Card.
The participating doctor will contact EyeMed to verify your eligibility
and benefit coverage and obtain authorization for the necessary
services and materials.
-
Go for your eye exam. Your EyeMed provider will
determine if glasses or contact lenses are necessary. If you need
glasses or contact lenses, ask your provider whether the services
and materials are approved by EyeMed. If you elect more expensive
materials for cosmetic reasons, you must pay the additional cost
yourself.
- Pay your doctor. When you receive services at
a participating EyeMed provider location, you will not have to file
a claim form. At the time services are rendered, you will have to
pay the cost of any services or eyewear that exceeds any allowances,
and any applicable co-payments. EyeMed
pays the doctor directly for services and materials covered by your
EyeMed plan. You will owe state tax, if applicable, and the cost of
non-covered expenses (for example, vision perception training).
Using Non-EyeMed Providers
If you prefer, you may also receive vision care services from any licensed
provider (optometrist, ophthalmologist or optician) who is not in the
EyeMed network. Keep in mind, however, that when you receive services
from a non-EyeMed provider:
- Your benefits are limited
- Your out-of-pocket costs may be higher
- You will need to file a claim
|
| Summary
Plan Description
The legal summary of this benefit will be included in the
2008 Benefits Handbook.
|