Vision Reimbursement2021-01-01T12:46:34-05:00

Vision Benefit

Our plans cover eye exams for glasses and include an eyeware benefit for items such as medically-necessary eyeglasses and contacts.

2021 Vision Benefits

In 2021 Prominence Medicare Advantage Members must use the National Vision Administrators (NVA) network.

Get more information about the NVA network or contact Member Services at 855-969-5882 (TTY: 711).

You are entitled to one routine eye exam each calendar year with a Prominence in-network provider.

Your vision benefit covers either 2 pairs of eyeglasses or 1 pair of eyeglasses and contact lenses up to $150 total, when obtained at an in-network provider, each calendar year. You will be responsible to pay any costs exceeding $150.

If you have a medical condition that requires the use of contact lenses, they are covered at no cost you. Prior authorization is required and includes fitting and follow-up.

You would be responsible for all costs for services and/or materials from a provider not in the network.

If during the year, you would like an additional routine eye examination or additional eyeglasses or contact lenses, you may obtain the services or materials at a discounted rate.

You will also have access to our mail order contact lens replacement program through Contact Fill.

*Discounts are only available at an in-network provider. Frequency is unlimited. Discounts do not apply at select retail locations such as Walmart/Sam’s Club locations due to Walmart/Sam’s Club Everyday Low Prices and Cole Corporate locations, as well as LensCrafters locations. In certain states, you may be required to pay the full retail amount and not the negotiated discount at certain providers.

Last update 1/1/2021

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