| VISION CARE SERVICES | IN-NETWORK | FREQUENCY |
|---|---|---|
| Vision Exam | $10 copayment | Once every calendar year |
| Prescription Glasses | $25 copayment 1 | See frame and lenses |
| Frame | $150 retail allowance; 20% off amount over $150 2 |
Once every calendar year |
| Lenses (Single Vision Lenses, Lined Bifocal Lenses, Lined Trifocal Lenses, Standard Progressive Lenses) |
$0 copayment | Once every calendar year |
1 Routine benefit: Plan allows the member to receive either glasses (frame, lens, lens options), or contacts. The prescription glasses in-network copayment applies to the purchase of lenses and/or frames. The frame allowance and lens copayments apply after the $25 copayment is paid.
2 Discounts are not insured benefits and may not be available at all provider locations. Discounts may not be available at Costco, Walmart, or Sam’s Club locations. To find participating providers that honor applicable discounts, visit the Vision Provider Locator. Exclusions for “all other lens options” may apply.
You can contact HMSA Vision customer service at 1-800-395-1750
HMSA offers your vision plan and works with EyeMed to provide vision benefits and services. EyeMed supports the vision provider network, processes vision claims, and provides customer service for HMSA Vision members. If you have questions about your vision benefits, providers, or claims, call HMSA Vision Customer Service at 1-800-395-1750.
No. HMSA Vision is a standalone vision plan. You do not need to have HMSA medical coverage to enroll in HMSA Vision.
Yes. Members enrolled in HMSA Vision will receive a separate HMSA Vision ID card with a unique subscriber ID number.
No. It is not required to have your HMSA Vision ID card. Providers may confirm your coverage with your name, date of birth and zip code.
Yes, but your costs will depend on whether your eye doctor participates in the HMSA Vision network. Before scheduling an appointment, use the HMSA Vision provider locator or call HMSA Vision Customer Service at 1-800-395-1750 to confirm that your provider is in the network.
Go to HMSA Vision Provider Locator to search for participating eye care providers and vision retailers. You may also call HMSA Vision Customer Service at 1-800-395-1750 for help finding a provider.
Yes, out of network benefits are available, although reimbursement amounts differ from in-network coverage.
You may need to pay the provider and submit a claim for reimbursement. Complete the out-of-network claim form and include an itemized receipt for the services you received.
Mail the completed form and receipt to:
First American Administrators, Inc.
Attn: Out of Network Claims
P.O. Box 8504
Mason, OH 45040-7111
You can access the claim form through the Vision Benefits section of HMSA’s My Account. For help submitting your claim, call HMSA Vision Customer Service at 1-800-395-1750.
Your reimbursement is based on your out-of-network benefits and may be less than the amount you paid the provider.
Members are eligible for one routine eye exam every plan year with a $10 copayment when using an in-network provider.
Please see instructions here: HMSA Vision My Account [PDF]
Checking your HMSA coverage and benefit tools
Before ordering new glasses or contacts, make sure you have your HMSA Vision subscriber number. You can find your subscriber number on your HMSA Vision ID card or log in to your MyAccount. On your MyAccount Dashboard, you can also access your vision benefit tools by selecting the Benefits drop down menu and clicking on “Vision Benefits”. There you will find a breakdown of your benefits, cost estimator, and special offers.
When purchasing online and the site cannot locate your information, please call HMSA Vision customer service at 1-800-395-1750.
Purchasing your order
Visit in-network sites at HMSA Vision Provider Locator.
You may be asked at different points to enter your information to apply your vision benefits. This includes the homepage, on the product detail page, or adding items directly in your cart. Your benefits will apply in real-time to show your out-of-pocket costs as you add items to your cart. Make sure your benefits are being applied before completing your purchase.
Call HMSA Vision Customer Service at 1-800-395-1750 for help. If you would like to submit a written appeal or grievance, send it to:
EyeMed Vision Care
Attn: Quality Assurance Department
4000 Luxottica Place
Mason, OH 45040
Fax: 1-513-492-3259
Email: eyemedqa@eyemed.com
Retirees: Effective 1/1/2027 your vision benefits will be transitioned to HMSA Vision. If you have questions regarding your vision benefits for services received prior to 1/1/2027, contact VSP at the EUTF-specific number 866-240-8420 or the VSP General Customer Care number 1-800-877-7195.
Actives: Effective 7/1/2027 your vision benefits will be transitioned to HMSA Vision. If you have questions regarding your vision benefits for services received prior to 7/1/2027, contact VSP at the EUTF-specific number 866-240-8420 or the VSP General Customer Care number 1-800-877-7195.
Services received prior to the effective date of HMSA Vision will continue to be processed under VSP.
