FAQs
Do I need to obtain a claim form prior to receiving eye care services?
No. Taking advantage of your EyeMed discounts is easy and convenient.
When visiting an EyeMed provider, there are no additional forms to fill out.
Simply present your EyeMed Member ID card (if you've received one) at the
time of your appointment.
If your plan includes an out-of-network option, you can request
an out-of-network claim form by contacting Member Services at
1-877-226-1115. A representative will verify that your program
includes this option before sending the out-of-network claim form
to you.
Do I need a referral?
You do not need a referral before using your EyeMed benefits.
Is my family included?
You can include your entire household under most EyeMed plans, but we recommend
that you refer to your plan information, or call your Program
Administrator, to be certain.
I have an eye care professional that I already
visit on a regular basis. How can I find out if he or she is an
EyeMed provider?
To find out whether or not your current eye care professional
is a EyeMed provider, do one of the following:
- Contact your eye care professional.
- Use EyeMed's online Provider Locator.
- Call 1-877-226-1115 and use our automated
phone system to inquire about EyeMed providers.
- Refer to your Member brochure, which may list your nearest provider locations.
I have a lens prescription. Is an examination
required before I receive eyeglasses or contact lenses?
To receive eyeglasses or contact lenses, you must have an unexpired
prescription. (Like most medical prescriptions, prescriptions for
eyewear expire.) Eye exams are an important part of your overall
health as well as your eye health, so EyeMed recommends scheduled
visits to an eye care professional.
If your prescription was recently written, we still recommend
asking an EyeMed provider whether or not the prescription is recent
enough to be filled. For contact lenses, the EyeMed provider may need
to conduct some additional services for fitting and follow-up to
ensure your eye health, comfort, and a proper fit.
How old should my child be before I schedule an
appointment for an eye examination?
Although most people aren't aware of it, children should have
their first eye examination at the age of six months. Even at six months,
optometrists and ophthalmologists can evaluate a child's eye
health and detect any visual conditions for early treatment.
Please check with your Program Administrator or Membership
information to make sure that your child's eye examination
is discounted.
Can I receive an eye exam from one provider
and materials (frames, lenses, contacts) from another?
Yes. Please refer to your plan coverage, or discuss your
options with your Benefits Administrator before receiving services.
Please note: Specific services must be administered by your
EyeMed provider prior to receiving contact lenses. Should you choose
to visit a second EyeMed provider for contact lens services, some
procedures may be duplicated to ensure a proper fit. Discuss
procedures and fees with your initial EyeMed provider prior to
seeking services at another participating EyeMed location.
My current eye care professional is not an EyeMed
provider. Can he or she be contacted by EyeMed to request participation
in the EyeMed plan?
EyeMed is happy to contact your current eye care professional and
extend an application for participation. Email us your eye care
professional's name, address, and phone number, along with your
name and phone number to use as a reference. In the meantime,
visit our online Provider Locator to determine which EyeMed
network providers are most convenient for you.
I have a question about the services or treatment I've received.
Who should I contact?
Member satisfaction is our top priority. If you have any
questions or concerns, please contact your EyeMed provider, or
contact us. You may also call a Representative toll-free at
1-877-226-1115. Please provide your name, phone number, date
of service, and all details when registering a question or concern.