The vision plan offers in-network and out-of-network care. That means you can use any vision care provider you want and receive benefits. Your cost is lower when you use in-network providers. If you choose to receive treatment or services from providers outside the network, your share of the cost is higher and you’re responsible for expenses that exceed the schedule of benefits. The schedule of benefits is available here.
Basic option offers:
Plus option offers:
Yes. If you select vision coverage, you and your enrolled dependents can each visit an optometrist for one eye exam and one pair of single or standard multi-focus eyeglass lenses or contacts once every 12 months. To ensure patients receive the correct contact lens prescriptions, providers conduct a contact lens exam for contact lens wearers. For standard lenses (soft, spherical daily wear for single-vision prescriptions), members pay no more than $55 for the contact lens exam and up to two follow-up visits. Premium contact lens wearers (most commonly toric, bifocal/multifocal, cosmetic color or gas permeable) receive a 10% discount of the cost of this service.
You can find a provider by visiting the EyeMed website, entering your zip code and selecting the INSIGHT network. In addition to those listed, all Walmart locations are in-network. Register on EyeMed’s website to have access to a list of all in-network providers. You can also use the EyeMed Members App to find a provider and much more.
If you choose an in-network provider:
That's it. You don’t need to file a claim when you receive care from network providers.
If you choose an out-of-network provider: