AZ Blue Best Life Classic (HMO): Vision Care
Routine vision exams and standard eyewear. They say that life begins at 40, but so does faulty eyesight! Poor vision impacts safety, mood, and thinking.
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How To Receive
Details on how to apply
Medicare Covered
Exam to diagnose and treat diseases and conditions of the eye:
$10 copayment per visit to an ophthalmologist or optometrist for Medicare-covered vision care.
$0 copayment per visit for Medicare-covered glaucoma screening and diabetic retinopathy screening.
Additional copayments/coinsurances will apply if multiple, separately billable services are rendered during the same visit.
$0 copay for one pair of glasses or contact lenses after each cataract surgery that includes insertion of an artificial lens know as intraocular lens.
$0 copay for corrective lenses/frames after each cataract removal without a lens implant. Refraction is not covered.
Eyewear coverage is limited to a basic pair of frames and lenses. Upgrades (tinting, scratch resistant lenses, and designer frames) are not covered.
Non-Medicare Covered
Routine vision services including non-medical eye examination through Davis Vision® providers without any medical conditions or symptoms for the purpose of checking vision, screening for eye disease, and/or updating eyeglasses or contact lens prescriptions.
$0 copayment for a routine eye exam with a Davis Vision provider.
$200 single-purchase annual eyewear allowance for frames or contact lenses through a Davis Vision provider.
Additional copayments/coinsurances will apply if multiple, separately billable services are rende red during the same visit.
*Please note that these services do not apply to your Out-of-Pocket Maximum
Schedule Eye Exam with Davis Vision or Call Davis Vision
For those with Diabetes: A retinal eye exam for diabetes is an eligible health activity in the Blue Medicare Health Rewards program. Completing a Retinal Eye Examination qualifies the member for a $30 reward. Once the health plan receives the self-attestation for each exam/screening click here to complete (or call the Member Outreach team at 1-888-267-9046, TTY 711), the reward will be loaded onto the member's AZ Blue OTC/Rewards Benefits Mastercard for use anywhere that accepts Mastercard.
For questions regarding the Blue Medicare Health Rewards program or issuance of the AZ Blue OTC/Rewards Benefits Mastercard, contact the Member Outreach team at 1-888-267-9046 (TTY 711).
IMPORTANT: The AZ Blue OTC/Rewards Benefits Mastercard is reloadable and will be used by the plan to load rewards, so make sure to holds onto it to use throughout the year.
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Routine vision exams help to identify vision changes that may require prescription adjustments, of course, but they can also detect many other things—early sight loss, dry eye syndrome, astigmatism, corneal complications, cataracts, threats to the optic nerve, macular degeneration, glaucoma, and damage from diabetes. For more on these eye conditions, search our library catalog.
Many people believe that they see just fine, and perhaps they do. Most do not know, however, that they have actually lost their ability to see clearly at very close range or at farther distances. They may have also become so accustomed to issues with their eyes, that they have learned workarounds and accepted their difficulties as normal. Some eye complications, including serious threats to vision and eye health, are unknown until there is an irreversible problem and can only be caught early through a professional eye exam. Finally, modifiable factors that contribute to vision disturbances, such as certain medical conditions and medications, can also be addressed.
The plan covers several vision care needs.
1 routine eye exam every year
Includes glaucoma screening for those at high risk (family history, diabetes, African Americans aged 50 and older, Hispanic Americans aged 65 and older)
Includes diabetic retinopathy screening for those with diabetes
1 eye exam every two years for the purpose of getting corrective lenses
One pair of standard* eyeglasses (frames and lenses) OR contact lenses every year, but not both
Physician services (ophthalmology) for diagnosis and treatment of disease and injuries of the eye, including treatment for age-related macular degeneration
One pair of eyeglasses or contact lenses after each cataract surgery that includes insertion of an intraocular lens
If there are two separate cataract operations, the benefit cannot be reserved after the first surgery and two pairs of eyeglasses purchased after the second surgery
*Standard eyewear: eyeglasses include single-vision, bifocals, and trifocals; this excludes specialty lenses such as transition, tint, progressive, or polycarbonate; contact lenses include standard daily wear, extended daily wear, disposables, toric, or rigid gas permeable.
Coverage includes the replacement of lost or destroyed glasses and the repair or replacement of parts.
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