Low Vision Benefits
When you visit an EyeMed network provider, the Plan may provide certain benefits if you have severe vision problems that are not correctable with regular lenses. To receive benefits, your provider must complete and submit a Low Vision Authorization Form to EyeMed.
The following chart shows how the Vision Plan pays benefits for low vision (in-network only):
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Care and Service
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Benefits Paid
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Low vision aids approved by the claims administrator
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Preferred or Non-Preferred Provider: 25% copayment, up to a $1,000 maximum allowance every two years
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Supplementary testing approved by the claims administrator (a complete low vision analysis and diagnosis which provides a comprehensive vision exam, including prescription corrective eyewear or other vision aids)
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