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VI S I ON
Early detection of problems and treatment can help prevent diabetes-related vision loss. People with
diabetes are more susceptible to glaucoma and other serious conditions, like heart disease and
stroke. To find an EyeMed doctor who’s right for you, call Customer Service at (866) 723-0513 or
visit
eyemed.com. Online, you can also view your benefits, verify eligibility, and claims status.
EyeMed Vision Plan
In-Network
Out-Of-Network
Vision Exam
$10 copay
Up to $40 allowance
Frequency
Once every 12 months
Once every 12 months
Eyeglass Lenses
Single Vision Lens
$25 copay
Up to $30 allowance
Bifocal Lens
$25 copay
Up to $50 allowance
Trifocal Lens
$25 copay
Up to $70 allowance
Frequency
Once every 12 months
Once every 12 months
Frames
Benefit
$130 allowance*
Up to $91 allowance
Frequency
Once every 24 months
Once every 24 months
Contacts (In-lieu of glasses)
Benefit
$130 allowance
Up to $130 allowance
Frequency
Once every 12 months
Once every 12 months
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