|Choosing a Vision Provider
The vision plans offered through OSEEGIB provide routine benefits, such as eye exams, frames, lenses, and/or contact lenses. Vision plans also provide discounts for laser vision correction surgery when using approved facilities.
Vision insurance does not cover cataract surgery or injuries to the eye. Conditions caused by injury or disease of the eye, including cataracts and glaucoma, are covered under an employee’s health plan.
Each vision plan has its own provider network. An employee always receives the greatest benefit when they select a network provider; however, the vision plans all provide out-of-network services at a reduced benefit with the exception of vision correction surgery. Each plan determines its premiums and copay schedules.
If an employee is considering vision coverage, encourage them to contact their eye care provider to find out which vision plans the provider is contracted with, if any.
An employee who failed to enroll in vision coverage, or one who elected a plan in error, must wait until the next annual Option Period to make a change.
Not all vision plans provide ID cards. The employee should contact their plan if they need an ID card.
For information about specific plan benefits, review the Comparison of Benefits for Vision Plans in the Employee Benefit Options Guide, or contact each plan directly. (See Contact Information for Vision Insurance)
For Plan Year 2012, there are five vision plan options available to employees:
Humana/CompBenefits VisionCare Plan
Primary Vision Care Services (PVCS)
Superior Vision Plan
Vision Service Plan (VSP)
To access vision plan benefits:
- An employee should first contact their vision care provider.
- The employee must identify themselves as a vision plan member and provide their Social Security number. Most of the participating vision plans do not issue identification cards but use the employee’s Social Security number to verify benefits instead.
- The vision care provider will contact the employee’s plan to confirm eligibility and benefits. Network providers will file claims with the vision plan.
Occasionally, an employee has problems accessing vision benefits due to an eligibility issue.
If you use OSEEGIB’s Web Enrollment System you can verify coverage online. First, verify the date the employee and/or dependents were entered in the system. If their enrollment information is correct, check to see if a qualifying event caused changes that have not yet been reported. Please allow a few business days for any changes to be entered into the system.
If you don’t have access to the Web Enrollment System or you are unable to resolve your issue online, contact OSEEGIB Member Services for assistance.
The employee’s first point-of-contact when seeking vision care is their vision care provider. Their provider is responsible for coordinating all of the employees vision care.
Each vision plan’s website has the most current list of providers for that plan.
Contact Information for Vision Insurance