Vision plan
What's included in the vision plan?

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:

  • In-network and out-of-network benefits
  • Annual in-network eye exam after a $10 copay
  • Eyeglass or contact lenses every calendar year after a $20 copay
  • New frames every two calendar years

Plus option offers:

  • In-network and out-of-network benefits
  • Annual in-network eye exam after a $10 copay
  • Eyeglass or contact lenses every calendar year after a $10 copay
  • New frames every calendar year
Does the vision plan cover contact lenses?

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. 

How do I choose a provider?

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.

How are vision benefits paid?

If you choose an in-network provider:

  1. Make an appointment with a network provider.
  2. Identify yourself as an EyeMed Vision Care participant and give the provider the patient's name and date of birth to verify coverage.
  3. Pay the $10 exam copay when you meet with the provider. If you are fitted for glasses, you may also select frames during this visit or go to another network provider.
  4. Pay the materials copay to the network provider who orders your glasses or contacts (plus any amounts not covered).

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:

  1. Make an appointment with any licensed provider.
  2. Pay the full cost at the appointment.
  3. Submit your itemized receipts with the patient's name and date of birth to EyeMed Vision Care.
  4. Receive reimbursement according to the schedule of benefits.

For any benefits question or concern, one call does it all.
Call us at 877-780-HISD (4473)

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