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This document provides details on the vision benefits offered by Avesis, including in-network and out-of-network coverage, co-pays, and limitations on vision care services.
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How to fill out your avesis vision plan

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How to fill out Your Avesis Vision Plan

01
Locate the Your Avesis Vision Plan form.
02
Fill in your personal information such as name, address, and date of birth.
03
Provide your policy number or member ID.
04
Select the type of vision services you require, such as eye exams or glasses.
05
Include any necessary medical history or other relevant details.
06
Sign and date the form.
07
Submit the completed form via the instructed method (online, by mail, etc.).

Who needs Your Avesis Vision Plan?

01
Individuals seeking vision care services.
02
Members enrolled in Avesis Vision insurance plans.
03
Patients needing to access specific vision benefits.
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Some people may look into discount vision plans as an alternative to insurance. Discount vision plans require members to pay a fee for a reduced cost on many types of vision care. However, these plans don't provide the same comprehensive coverage as vision insurance.
Avēsis participates with many of the nation's top retailers such as Walmart, Sam's Club, and Costco. Materials are covered up to the plan allowances depending on the plan selection, with any overage being a member responsibility.
Participating Retailers Avēsis participates with many of the nation's top retailers such as Walmart, Sam's Club, and Costco.
A valid eyeglasses prescription is required from your eye doctor. The prescription must include patient's name, prescription values that are clear & legible, a valid exam or expiration date, doctor's contact info & signature that is clearly displayed (signature can be digital).
What type of spectacle lenses are covered? Avēsis covers standard single-vision, bifocal, and trifocal lenses in plastic or glass. Specialty lenses — progressive, photo-chromatic, high-index, etc. — are available to members at a uniform discounted price.
NOTE: Confirm that the provider at Walmart Vision Center or Sam's Club Optical is a VSP network provider. Let them know you're a VSP member, and present your medical or vision plan ID card if you have one. Pay your copay and any other required charges during your visit.
Ameritas provides vision benefits with the two largest vision networks, EyeMed and VSP.
UnitedHealthcare Vision's participating vendors include Cohen's Optical, Wal-Mart Vision Center, Sam's Club, and Sterling Optical, along with many independent doctors of optometry and ophthalmology.

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Your Avesis Vision Plan is a comprehensive vision insurance plan that provides coverage for eye exams, glasses, and contact lenses to help maintain your eye health and improve your visual acuity.
Typically, employees enrolled in the Avesis Vision Plan or their dependents who wish to utilize vision benefits are required to file Your Avesis Vision Plan.
To fill out Your Avesis Vision Plan, complete the required forms with your personal information, including your member ID, the services rendered, and any additional necessary documentation as specified by the plan.
The purpose of Your Avesis Vision Plan is to provide members with access to affordable eye care services and products, promoting eye health and offering financial assistance for vision-related expenses.
Reported information must include member identification details, dates of service, types of services received, costs associated with those services, and any payments made or due.
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