See Clearly. Save Money. Simple.

Transcription

See Clearly. Save Money. Simple.
EyeMed
Vision Care
See Clearly.
Save Money. Simple.
Your Vision Care Discount
HealthPartners members now have even more options to save on eyewear through
a materials discount program offered by EyeMed Vision Care. This program,
detailed on the back, is available to all members and eligible dependents and
cannot be combined with any other discounts.
EyeMed Provider Network
It’s convenient and easy! The EyeMed Access network provides you with the
choice of thousands of private practitioners as well as optical retailers including
LensCrafters, Pearle Vision, Sears Optical, Target Optical, and JCPenney Optical
locations. Simply cut out this card and present at the time of service.
HealthPartners Discounts
Accessing Your Vision Care Discount
EyeMed makes it as easy as 1-2-3
to protect your vision.
1. Locate a provider by visiting
healthpartners.com and selecting the Members
section. Next click on “Health Resources” and
then on “Healthy Discounts.”
2. Schedule an appointment with a
simple phone call. Or stop by one of the many
providers who offer walk-in appointments. Inform
the office that you are a HealthPartners member
with an EyeMed discount plan when you wish to
use your discount.
3. Present the ID card below when
you arrive so the EyeMed provider knows you
have a HealthPartners vision discount.
Plan #9236043
EyeMed Access D Network
Administered by EyeMed Vision Care
Vision Care Services
Members Cost
Complete Pair of Glasses Purchase*:
Frame, lenses and lens options must be purchased in the same
transaction to receive the full discount
Standard Plastic Lenses:
Single Vision
Bifocal
Trifocal
$50
$70
$105
Frames:
Any frame available at provider location
35% off retail price
Lens Options:
UV Coating
Tint (Solid and Gradient)
Standard Scratch-Resistance
Standard Polycarbonate
Standard Anti-Reflective Coating
Standard Progressive (add-on bifocal)
Other Add-Ons and Services
$15
$15
$15
$40
$45
$65
20% discount
Contact Lens Materials:
Disposable
Conventional (Non-disposable)
0% off retail price
15% off retail price
Laser Vision Correction**:
LASIK or PRK
Frequency:
Frame
Lenses
Contact Lenses
15% off retail price or 5%
off promotional price
Unlimited
Unlimited
Unlimited
EyeMed Doctors/Providers:
Visit www.eyemedvisioncare.com
or call 1-800-521-3605 to receive discount information.
* Items purchased separately will be discounted 20% off of the retail price.
This is not insurance. It is a discount program available to current HealthPartners
members and cannot be combined with any other vision discount.
**Members also receive 15% off retail price or 5% off promotional price for Lasik or
PRK from the US Laser Network, owned and operated by LCA vision. Since Lasik
or PRK vision correction is an elective procedure, performed by specially trained
providers, this discount may not always be available in your immediate location. For a
location near you and the discount authorization please call 1-877-5LASER6.
Schedule your eye exam today!
Member/Patient Services: 1-866-559-5252
DISCOUNT PLAN
HEALTHPARTNERS VISION DISCOUNT
Plan #: 9236043
Signature:______________________________
This is not insurance.
SM
Member will receive a 20% discount on those items purchased at participating
Providers that are not specifically covered by this Discount design. The 20% discount
may not be combined with any other discounts or promotional offers, and the discount
does not apply to EyeMed Provider’s professional services, or contact lenses. Retail
prices may vary by location.
Through the EyeMed Discount Plan, members also save $5 off a comprehensive exam
and $10 off a contact lens exam. This cannot be combined with any other discounts or
coverage.
Limitations/Exclusions:
• Orthoptic or vision training, subnormal vision aids, and any associated
supplemental testing
• Medical and/or surgical treatment of the eye, eyes, or supporting structures
• Corrective eyewear required by an employer as a condition of employment, and
safety eyewear unless specifically covered under plan
• Services provided as a result of any Worker’s Compensation law
• Discount is not available on those frames where the manufacturer prohibits
a discount
These discounts are only available through an EyeMed Access network provider.
Members are responsible for paying the discounted amounts directly to the EyeMed
Provider at the time of service. This is a discount plan, not an insured benefit.
Some restrictions apply. This is not insurance coverage. The products and services described herein are neither offered nor guaranteed
under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding
these products and services may be subject to the HealthPartners grievance process. The HealthPartners family of health plans are
underwritten and/or administered by HealthPartners, Inc., Group Health, Inc., HealthPartners Insurance Company or HealthPartners
Administrators, Inc. Fully insured Wisconsin plans are underwritten by HealthPartners Insurance Company.
© 2008 HealthPartners
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