What Does Eyemed Insurance Cover and How Does It Work

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Eyemed insurance is a popular choice for individuals and families looking for affordable eye care coverage.

Eyemed insurance covers a wide range of eye care services, including routine eye exams, glasses, contacts, and even some surgical procedures.

With Eyemed, you can visit any licensed provider, giving you the freedom to choose the care that's right for you.

Some common services covered by Eyemed include eye exams, glasses, contacts, and even some surgical procedures like LASIK.

Many people rely on Eyemed for their eye care needs, including individuals, families, and even businesses.

Additional reading: Eye Glasses Insurance Cover

Insurance Coverage

EyeMed insurance covers a variety of services, including annual eye exams, glasses, and contact lenses. Depending on the plan you choose, you can expect to save money on these essential vision care services.

EyeMed members can enjoy significant discounts on comprehensive annual eye exams and eyeglasses, including frames, lenses, and lens treatments like anti-glare coating. Some plans even offer discounts on non-prescription sunglasses, with 20% off available in certain cases.

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EyeMed copays vary based on the plan you have and the service or product you're using your benefits for. Typically, you can expect a $10 copay for eye exams, but it's always a good idea to review your specific plan to understand any additional costs you may be responsible for.

Cover Sunglasses?

EyeMed doesn't cover non-prescription sunglasses, but they offer discounts at in-network providers to make corrective or non-Rx sunglasses more affordable.

You can get 40% off a complete additional pair of prescription glasses or prescription sunglasses, or 20% off non-prescription sunglasses once yearly benefits have been used.

If you're interested in finding out if your EyeMed Vision Care plan covers prescription sunglasses, you can visit or contact Eye Boutique with your member number ready.

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Insurance

EyeMed insurance covers most or part of the cost of an annual eye exam, glasses, including frames and lenses, certain optical lens treatments like anti-reflective coating, and contact lenses. Members can save as much as 73% on an eye exam and glasses compared to the cost without vision coverage.

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EyeMed vision benefits can be used for contact lenses or eyeglasses, depending on your preference. The dollar amount of coverage for contact lenses varies based on your specific plan.

You can save 40% off a complete pair of eyeglasses or 15% off contact lenses if the benefits have already been used for the year. However, discount availability can vary, so always ask your eye care provider to check your coverage.

EyeMed copays vary based on which plan you have and which service or products your benefits are applied to. Typically, EyeMed has a $10 copay for eye exams.

Here are some services that EyeMed insurance generally covers:

  • Annual eye exams
  • Glasses (including frames and lenses)
  • Certain optical lens treatments (like anti-reflective coating)
  • Contact lenses

EyeMed does not cover the cost of non-prescription sunglasses.

Vision Services

EyeMed insurance covers a range of vision services, including annual eye exams, glasses, and contact lenses. You can expect to save money on these services, especially if you choose an in-network provider.

EyeMed covers most or part of the cost of glasses, including frames and lenses, as well as contact lenses and certain optical lens treatments like anti-reflective coating. If you're looking for a specific type of lens, like anti-glare coating, you're in luck.

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You can save as much as 73% on an eye exam and glasses with EyeMed coverage, compared to the cost without vision coverage. This is a significant discount that can add up to big savings over time.

Here are some specific services that EyeMed covers:

  • An annual eye exam (or a contact lens exam)
  • Glasses (including frames and lenses)
  • Certain optical lens treatments (like anti-reflective coating)
  • Contact lenses (both conventional & disposable)

Blue Light Glasses?

Blue light glasses are a great option for those who spend a lot of time in front of screens. EyeMed insurance offers varying blue light solutions with options as low as $15.

The cost of adding blue light protection to your glasses depends on the specifics of your plan. This means you can get a good deal on blue light glasses if you have the right plan.

You can get blue light glasses for men, women, and kids at any Wisconsin Vision store. Contact us to learn more about your payment options for blue light protection with EyeMed vision insurance.

Cover Prescription Sunglasses?

You can get a good idea of whether your EyeMed plan covers prescription sunglasses by visiting or contacting Eye Boutique with your member number ready. They'll help you figure out the details.

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The cost of prescription sunglasses may be partly covered by your EyeMed Vision Care plan. You'll need to ask about copays or discounts that may apply.

To find out more about your coverage, just visit or contact Eye Boutique. They'll handle the rest and get you the information you need.

Wisconsin Vision Optometrists

Wisconsin Vision optometrists are in-network EyeMed providers, which means they take EyeMed for eye exams, contacts, glasses, and prescription sunglasses.

If you're enrolled in an individual EyeMed plan or have vision benefits through your employer, you can visit a Wisconsin Vision eye doctor for comprehensive vision care.

Our eye doctors are in-network EyeMed providers, offering comprehensive vision care for adults and children.

We also have options for patients without vision insurance, so you don't have to worry about being left out.

Plan Details

With Eyemed insurance, you can get full coverage for eye exams, which is a great perk. This means you'll be able to get a thorough check-up and diagnosis without worrying about the cost.

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You'll also have access to nearly 3,000 in-network providers in the Pacific Northwest, including independent eye doctors and popular retail stores like LensCrafters, Pearle Vision, and Target Optical. This gives you a lot of options for finding a provider that fits your needs.

One of the benefits of Eyemed is the Freedom Pass, which covers your frame in full at LensCrafters and Target Optical, regardless of the retail price. This can be a huge cost-saver, especially if you're looking for a high-end frame.

You can also receive 40 percent off additional pairs of prescription glasses after you've used your benefit. This is a great opportunity to get a second pair of glasses or update your current prescription.

To give you a better idea of the providers you can access, here are some of the in-network locations where you can get in-network coverage on eyeglasses and contacts:

  • Glasses.com
  • Lenscrafters
  • TargetOptical
  • ContactsDirect

Discounts

Discounts are a great perk of having Eyemed insurance. With Eyemed, you can get additional savings on vision care when using an in-network provider.

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One of the ways you can save is by getting a 20% discount on any products not covered in the plan, including non-prescription sunglasses and accessories. This is a great way to upgrade your style without breaking the bank.

You can also get a 20% discount on the balance when the price of frames exceeds the coverage amount. This ensures that you don't have to pay a huge bill for frames that are more expensive than your plan covers.

If you need additional pairs of glasses, you can get 40% off the total price after your initial benefits have been used. This is a fantastic way to get a second pair of glasses without paying full price.

Finally, you can get 20% off the total price of additional eyewear components, such as frames only or lenses only. This is a great way to customize your glasses to fit your needs and style.

Here are some specific discounts you can expect:

  • 20% discount on non-prescription sunglasses & accessories
  • 20% discount on the balance when the price of frames exceeds the coverage amount
  • 40% off the total price of additional pairs of glasses
  • 20% off the total price of additional eyewear components

Financial Information

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Financial Information is an important aspect of understanding what Eyemed insurance covers. Here's a breakdown of the costs associated with this coverage.

School employees are fortunate to have their employer cover the premium for vision coverage, so there's no monthly cost to worry about.

SEBB Continuation Coverage monthly premiums are available for 2024 and 2025, but the specific costs for these years are not provided in the article section.

Here's a brief overview of the SEBB Continuation Coverage monthly premiums for 2024 and 2025:

Plan Pricing

EyeMed plans start at $5-$30 a month, so you can expect a manageable monthly fee regardless of your choice.

Copays for services received can be as low as $10, but they can also be as high as $135, depending on the specific service.

Materials allowances vary, ranging from $110 to $200, which can help you budget for necessary expenses.

These prices give you a clear idea of what to expect from EyeMed plans, making it easier to decide which option is right for you.

Costs

Optometrist performs an eye exam on a child using phoropter in a bright clinic.
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When it comes to costs, it's good to know that school employees don't have to pay monthly premiums for vision coverage. Their employer takes care of it.

One cost to consider is SEBB Continuation Coverage, which has different monthly premiums depending on the year. For 2025, the premiums will be different from 2024.

Here are the specific monthly premiums for SEBB Continuation Coverage for 2025 and 2024:

It's worth noting that more information is needed to provide specific details on the monthly premiums for SEBB Continuation Coverage.

State Vision Plan

The State Vision Plan is a great benefit for those who have it. EyeMed administers the vision benefits for the State Employee's Group Insurance Program.

If you use an in-network provider, you'll get better benefit levels. Services provided by an out-of-network provider are paid at a lower benefit level.

To get reimbursed for out-of-network services, you'll need to submit an EyeMed Claim form. Out-of-network claims must be filed within 15 months from the date of service.

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Here's a breakdown of the benefits for in-network and out-of-network services:

Note that some services have different benefit levels depending on the type of provider you use.

Frequently Asked Questions

What is something that would not be covered by eye insurance?

Eye insurance typically doesn't cover medical issues like vision loss, eye diseases, or complications from diabetes

Does EyeMed cover glasses lenses?

Yes, EyeMed covers glasses lenses, as part of a full pair of glasses or with a 20% discount on lenses when purchasing contacts.

Timothy Gutkowski-Stoltenberg

Senior Writer

Timothy Gutkowski-Stoltenberg is a seasoned writer with a passion for crafting engaging content. With a keen eye for detail and a knack for storytelling, he has established himself as a versatile and reliable voice in the industry. His writing portfolio showcases a breadth of expertise, with a particular focus on the freight market trends.

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