EyeMed Web Site & Coverage At A Glance
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- Albert Johns
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1 EyeMed Web Site & Coverage At A Glance EyeMed is your vision provider. Wayne County s vision plan allows you to improve your health through a routine eye exam, while saving you money on your eye care purchases. To begin using the EyeMed member website, you will need to create an online account. It s quick and easy! Once you have an account, you ll be able to: View Your Claim Status Print Your Member ID Card Understand Your Benefits Find Answers To Important Questions And More! Locate An In-Network Provider EyeMed allows you to choose from private practice and optical retail providers. While logged in, you can use the Provider Locator link to view nearby providers who accept your plan. Schedule An Appointment At the time of the appointment, mention you are an EyeMed member. Many of our providers also accept walk-in visits. Present Your ID Card When you arrive, identify yourself again as an EyeMed member and present your ID card, if applicable. If you do not have your vision ID card handy, you can also provide your member ID number, name and date of birth. The Provider s Staff Will Do The Rest! You only pay for co-pays indicated, as well as any applicable amounts over the allowances. Your provider will supply you with these amounts.
2 The process varies slightly if you decide to use a non-network provider. Visit the Using Your Benefits page on the EyeMed website for complete information. EyeMed allows members the choice to visit an in-network or out-of-network vision care provider. If you are visiting a provider that is not a participating provider in the EyeMed network, please complete the following steps: 1. When visiting an out-of-network provider, you are responsible for payment of services and/or materials at the time of service. EyeMed will reimburse you for authorized services according to your plan design. 2. *Complete the EyeMed Out-Of-Network Claim Form, which can be downloaded from the Benefits Details page on the EyeMed website; one is also provided at the back of this tab. Please complete all sections of this form to ensure proper benefit allocation. Plan information may be found on your EyeMed ID card or by contacting your Wayne County HR Benefits Specialist at bchapin@wayneohio.org or Please be aware that any missing or incomplete information may result in delay of payment or the form being returned. This form will need to be completed and sent to EyeMed within one (1) year from the original date of service at the out-of-network provider s office. (*See comment below!) 3. EyeMed will only accept itemized paid receipts that indicate the services provided and the amount charged for each service. The services must be paid in full in order to receive benefits. Handwritten receipts must be on the provider s letterhead. Attach itemized paid receipts from your provider to the claim form. 4. Please include a copy of your Explanation of Benefits if submitting for a secondary insurance benefit. 5. Sign the claim form. 6. Return the completed form and your itemized paid receipts to: Please allow at least fourteen (14) calendar days to process your claims once received by EyeMed. Your claim will be processed in the order it is received. A check and/or Explanation Of Benefits will be mailed within seven (7) calendar days of the date your claim is processed. *Make sure to submit all claims for a covered member at one time. Again, you can download an Out-Of-Network Claim Form from the Benefits Details page on the EyeMed website; one is also provided at the back of this tab.
3 To inquire about the status of a claim, please call the EyeMed Customer Care Center at 866-9EYEMED ( ). Have your member ID available for faster service. If you are visiting an in-network provider, you should not need to check the status of a claim, as we will work with the provider directly. Please Remember: This is for a non-network provider only; You will not file claims if you use an in-network provider.
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5 Eye Care Professionals In Your Area EyeMed s network includes thousands of locations across the country and near you. For the most up-to-date list of providers, login to your account at the EyeMed web site, click the blue tab Locate A Provider and fill in the information at the bottom of the screen. You can also find a provider through the following methods: Refer to the below list, which is a list of providers in the Wooster and surrounding areas at the time of this publication (1/10/2018). Call the Customer Care Center at EYEMED ( ) to use our automated voice response system or speak with a representative. Ask your preferred eye care provider if he or she accepts EyeMed SELECT PLAN H. Always call ahead and identify yourself as an EyeMed member to ensure your benefits are applied correctly. AKRON BRIGGS, JOANNE H., MD 3600 West Market Street, Ste 100 Akron, OH (330) EYE SITE, THE 1394 S. Cleveland Massillon Rd Suite 200 Akron, OH (330) HANDEL VISION CLINIC 270 S. Cleveland Massillon Road Suite A Akron, OH (330) and 919 E. Turkeyfoot Lake Rd, Ste. C Akron, OH (330) JCPENNEY OPTICAL 2000 Brittain Road Mall, Ste. 600 Akron, OH (330) LENSCRAFTERS Summit Mall 3265 West Market Street Akron, OH (330) LENSCRAFTERS Chapel Hill Mall 2000 Brittain Road, Suite 950 Akron, OH (330) NEOVISION GROUP 150 Springside Drive, Ste 300 Akron, OH (330) NORTHEAST OHIO EYE SURGEONS 4099 Embassy Parkway Akron, OH (330) PEARLE VISION 3893 Medina Road Akron, OH (330) PETRIES EYECARE 3308 South Main Street Akron, OH (330) SEARS OPTICAL Chapel Hill Mall 10 Chapel Hill Mall Akron, OH (330) SNODGRASS EYE CARE 60 North Miller Road Akron, OH (330) TESTA, LISA M. OD 2694 South Main Street Akron, OH (330) VISIONCARE ASSOC Manchester Road, Suite 1 Akron, OH (330)
6 ASHLAND GREGG, ROBERT E. OD 1060 Claremont Avenue, Suite 5 Ashland, OH (419) BARBERTON HAKIM, EDMOND R. OD 254 Norton Avenue Barberton, OH (330) NEOVISION GROUP 31 Conservatory Drive Barberton, OH (330) CANAL FULTON ADVANCED EYECARE 2425 Locust Street Canal Fulton, OH (330) CANTON ACCENT ON EYES 3730 Whipple Ave. NW, Ste 100 Canton, OH (330) BELLES & RATH, DRS Fulton Drive NW Canton, OH (330) FISHERS OPTICAL CENTER 4865 Frank Road NW Canton, OH (330) GLAUCOMA & EYE SPECIALIST 4360 Fulton Drive NW Canton, OH (330) HILLS AND DALES VISION 4555 Hills and Dales Road NW Canton, OH (330) JCPENNEY OPTICAL 4300 Tuscarawas Street West Canton, OH (330) LENSCRAFTERS Belden Village Mall 4157 Belden Village Mall Canton, OH (330) PEARLE VISION 4474 Everhard Road NW Canton, OH (330) SEARS OPTICAL Belden Village Mall 4100 Belden Village Mall Canton, OH (330) CUYAHOGA FALLS DAVIS EYE CENTER 789 Graham Road Cuyahoga Falls, OH (330) PEARLE VISION 796 Howe Avenue Cuyahoga Falls, OH (330) LODI OHIO EYE CARE CONSULTANTS 221 Elyria Street, Suite 104 Lodi, OH (330) LOUDONVILLE LOUDONVILLE FAMILY VISION 631 North Union Street Loudonville, OH (419) MANSFIELD LENSCRAFTERS Richland Mall 2214 Richland Mall, Suite C22 Mansfield, OH (419) SEARS OPTICAL Richland Mall 600 Richland Mall Mansfield, OH (419) TARGET OPTICAL 2205 Walker Lake Road Mansfield, OH (419) MASSILLON BARBER, ANGELA M. OD 3470 Wales Road, Unit C Massillon, OH (330) FISHERS OPTICAL CENTER 2216 Lincoln Way East Massillon, OH (330) MASSILLON VISION CENTER 915 Lincoln Way East Massillon, OH (330) UNION OPTICAL SERVICES INC. 220 Federal Avenue NW Massillon, OH (330) MEDINA EXCELLENCE IN EYECARE INC Medina Road Medina, OH (330) LOEPER VISIONCARE, INC. 801 E. Washington St., Suite 120 Medina, OH (330) MEDINA VISION CENTER 4463 Weymouth Road Medina, OH (330) MILBURN EYE CENTER 409 North Court Street Medina, OH (330) NORTH COURT OPTICAL 707 North Court Street Medina, OH (330) OHIO EYE CARE CONSULTANTS 3583 Reserve Commons Drive Medina, OH (330) PEARLE VISION 837 North Court Street Medina, OH (330)
7 MEDINA (continued) SEARS OPTICAL 1091 North Court Street Medina, OH (330) MILLERSBURG FAMILY EYECARE ASSOC., INC Glen Drive Millersburg, OH (330) NEW PHILADELPHIA LENSCRAFTERS New Towne Mall 400 Mill Avenue, Suite 329 New Philadelphia, OH (330) ORRVILLE BENNETT, DR. WILLIAM H. OD 417 West Market Street Orrville, OH (330) GUSTER, DR. PETER MICHAEL OD 341 West Church Street Orrville, OH (330) RITTMAN FERRIMAN, CURTIS D. OD 89 East Ohio Avenue Rittman, OH (330) WADSWORTH EXCELLENCE IN EYECARE OF WADSWORTH 195 Wadsworth Road, Suite 304 Wadsworth, OH (330) OHIO EYE CARE CONSULTANTS One Park Centre Drive, Suite 106 Wadsworth, OH (330) WOOSTER FAMILY EYE CARE OF WOOSTER 961 Dover Road Wooster, OH (330) KARG, DR. TIMOTHY OD 370 East Milltown Road Wooster, OH (330) KENNEDY, DR. JOEL OD 370 East Milltown Road Wooster, OH (330) LOOKING GLASS, THE 1651 Beall Avenue Wooster, OH (330) MILBURN, DRS Cleveland Road, Suite B Wooster, OH (330) PEARL VISION The Wooster Plaza 3853 Burbank Road Wooster, OH (330) Updated: 1/10/2018 Please note that the list of vision providers will change periodically. Please visit to get the most recent listing. Additionally, not all providers offer all services. Please confirm the services available with your provider when making your appointment. Also, call ahead to confirm their participation in your plan, and identify yourself as an EyeMed member to ensure you receive your maximum benefits. Remember that not all providers participate in every plan. Even if a provider is displayed on these pages or on the EyeMed web site, you should call ahead to confirm the provider still accepts your plan. This list does not include laser vision correction surgeons. For laser vision correction providers, please call LASER6 or visit
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9 Summary Plan Description Out-of-Network TYPE OF SERVICE Member Cost Reimbursement Exam with Dilation as Necessary $15 Copay $35 Retinal Imaging Benefit Up to $39 n/a Contact Lens Fit And Follow-Up (Contact Lens Fit And Follow-Up Visits Are Available Once A Comprehensive Eye Exam Has Been Completed) Standard Up To $40 n/a Premium 10% Off Retail n/a Frames (Any Available Frame At Provider Location) $0 Copay; $130 Allowance; 80% Of Balance Over $130 Standard Plastic Lenses: Single Vision $15 Copay $25 Bifocal $15 Copay $40 Trifocal $15 Copay $55 Lenticular $15 Copay $55 Lens Options (Paid by the Member and Added to the Base Price of the Lens) Tint (Solid and Gradient) $15 n/a UV Treatment $15 n/a Standard Plastic Scratch-Resistance $0 $8 Standard Polycarbonate $0 $20 Standard Anti-Reflective Coating $45 n/a Standard Progressive ** $80 $40 Premium Progressive** $80 Copay, 80% of Charge less $120 Allowance $40 Polarized 20% Off Retail n/a Other Add-Ons and Services 20% Off Retail n/a Contact Lenses (Allowance Covers Materials Only; Allowance Must Be Used All At Once; One Submission Per Year) Conventional Disposables Medically Necessary $0 Copay; $115 Allowance; 15% Off Balance Over $115 $0 Copay; $115 Allowance; Plus Balance Over $115 $0 Copay; Paid In Full $65 $92 $92 $200
10 TYPE OF SERVICE LASIK and PRK Vision Correction (from U.S. Laser Network) Amplifon Hearing Health Care (Hearing Health Care from Amplifon Hearing Health Care Network) Additional Pairs Benefit Member Cost 15% Off Retail or 5% Off Promotional Price 40% discount off hearing exams and a low price guarantee on discounted hearing aids 40% discount off complete pair eyeglass purchases and 15% discount off conventional contact lenses once the funded benefit has been used Out-of-Network Reimbursement Frequency: Exam Once Every 12 Months Frames Once Every 24 Months Lenses or Contact Lenses Once Every 12 Months **Standard/Premium progressive lenses which are out of network are not covered; fund as a bifocal lens n/a n/a n/a Members receive a 20 percent discount on remaining balance at participating providers beyond plan coverage; the discount does not apply to EyeMed s providers professional services or contact lenses. After initial purchase, replacement contact lenses may be obtained via the internet at substantial savings and mailed directly to the member. Details are available at The contact lens benefit allowance is not applicable to this service. Benefits are not provided for services or materials arising from: Orthoptic or vision training, subnormal vision aids and any associated supplemental testing; Aniseikonic lenses; medical and/or surgical treatment of the eye, eyes or supporting structures; any eye or vision examination or any corrective eyewear required by a policyholder as a condition of employment; safety eyewear; services provided as a result of any Workers Compensation law or similar legislation, or required by any governmental agency or program whether federal, state or subdivisions thereof; Plano (non-prescription) lenses and/or contact lenses; nonprescription sunglasses; two pair of glasses in lieu of bifocals; services or materials provided by any other group benefit plan providing vision care; certain brand name vision materials in which the manufacturer imposes a no-discount policy; or services rendered after the date an insured person ceases to be covered under the policy, except when Vision Materials ordered before coverage ended are delivered and the services rendered to the insured person are within 31 days from the date of such order. Lost or broken lenses, frames, glasses or contact lenses will not be replaced except in the next benefit frequency when vision materials would next become available. Benefits may not be combined with any discount, promotional offering or other group benefit plans. Standard/Premium Progressive Lens not covered fund as a Bifocal Lens. Standard Progressive Lens covered fund Premium Progressive as a Standard. Underwritten by Fidelity Security Life Insurance Company of Kansas City, Missouri, except in New York. This is a snapshot of your benefits. The Certificate of Insurance is on file with your employer.
11 In addition to the health benefits your EyeMed program offers, members also enjoy additional, value-added features including: Additional Eyewear... Save up to 40 percent off additional complete pairs of glasses after the initial benefit has been used. This moneysaving program is available at any participating provider. Eye Care Supplies... Receive 20 percent off retail price for eye care supplies like cleaning cloths and solutions purchased at network providers (not valid on doctor s services or contact lenses). Laser Vision Correction... Save 15 percent off the retail price or 5 percent off the promotional price for LASIK or PRK procedures. Replacement Contact Lens Purchases... Visit to order replacement contact lenses for shipment to your home at less than retail price.
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13 Please photocopy all forms, keeping the originals in your binder, so that you can continue to use in future years. Forms
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EyeMed Web Site & Coverage At A Glance
EyeMed Web Site & Coverage At A Glance EyeMed is your vision provider. Wayne County s vision plan allows you to improve your health through a routine eye exam, while saving you money on your eye care purchases.
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