Finding Providers Who Accept Avēsis Vision Insurance

Getting vision insurance through Avēsis can be a great way to save money on routine eye exams, glasses, and contacts. But once you have coverage, an important next step is finding an eye doctor or optical shop that accepts your Avēsis vision plan. This allows you to maximize your benefits and get the eyecare you need at the lowest possible out-of-pocket cost.

In this article, we’ll explain how Avēsis vision insurance works, who is eligible for coverage, and most importantly – how to locate providers in your area that participate in the Avēsis provider network.

Overview of Avēsis Vision Insurance

Avēsis is a nationwide vision insurance company that offers group and individual vision plans. They partner with a large network of optometrists, ophthalmologists, and optical retail stores to provide members with discounted rates on eye exams frames lenses, and contact lenses.

Some key things to know about Avēsis vision coverage

  • Plans are available to individuals, families, and groups of all sizes
  • Options range from basic wellness plans to comprehensive plans covering materials like glasses and contacts
  • Monthly premiums are generally affordable, ranging from $5 – $20 per member
  • Members get access to discounted pricing within the Avēsis provider network
  • Out-of-network care is covered up to a certain allowance, but patients pay more

Vision insurance through Avēsis helps reduce the costs associated with prescription eyewear and routine eye care. But to maximize the value of your benefits, you’ll want to use your coverage at eye doctors and retailers that participate in the Avēsis network.

Who Accepts Avēsis Insurance? Ways to Find In-Network Providers

Avēsis offers an extensive nationwide network of eye care providers. However, not every eye doctor or optical shop accepts Avēsis vision plans. So how can you find an Avēsis provider near you? Here are some tips:

  • Check the Avēsis website directory – Avēsis has an online provider search tool where you can find participating providers by location, name, or practice. Just visit www.avesis.com and click on “Find a Provider” to search for eye doctors or retailers that take your plan.

  • Call Avēsis customer service – If you can’t find an in-network provider nearby through the website directory, you can call Avēsis toll-free at 1-800-828-9341 and speak to a representative. They can look up providers in your area that participate with Avēsis plans.

  • Ask your eye doctor or optical shop – When booking an appointment or visiting an optical retail store, always ask ahead of time if they accept your specific Avēsis vision insurance plan. Providers contract separately with vision plans, so it’s important to verify.

  • Look for the Avēsis member logo – Participating eye doctors and retailers will display the Avēsis member logo in their office or store. If you see this, it means they definitely accept Avēsis patients and policies.

  • Check your ID card – Your Avēsis insurance ID card will have helpful information on the back for finding in-network providers and understanding your benefits. Keep this card with you when visiting providers.

  • Search vision plan provider directories – Sites like EyeMed, VSP, and Eyeconic have search tools that let you look up which providers take various vision insurance plans, including Avēsis.

Using these methods, you can identify eye doctors, optometrists, ophthalmologists, and optical stores that participate in the Avēsis network. Always double check that a provider accepts your specific Avēsis plan before your appointment.

What to Know About Using Out-of-Network Providers

One of the advantages of Avēsis vision insurance is that they will provide some level of coverage if you visit an out-of-network eye care provider. However, your benefits will be lower and you’ll end up paying more overall.

Here’s an overview of how costs differ when using out-of-network vision care:

  • You pay the full price upfront to the provider instead of the negotiated discounted rate
  • You then submit a claim to Avēsis for reimbursement
  • Avēsis will reimburse you up to a maximum allowance, but this is usually less than their in-network contracted rates
  • So you end up paying the difference in cost, which is known as the “balance billing” amount

To avoid paying extra out-of-pocket costs, always use Avēsis in-network providers whenever possible. But if there are absolutely no participating providers in your area, going out-of-network is still better than having no vision coverage at all.

Tips for Using Your Avēsis Vision Insurance Plan

Here are some additional pointers to make the most of your Avēsis vision benefits:

  • Review your policy so you thoroughly understand covered services, copays, allowances, and limitations
  • Stick to your eye exam frequency as outlined in your plan (usually every 12 or 24 months)
  • Purchase contacts, frames, and lenses within your policy’s material coverage cycle
  • Choose standard plastic lenses instead of add-ons like progressive or anti-reflective coatings to save money
  • Pick frame brands that are covered more generously by your plan
  • Ask about discounts and promos – many providers offer special savings beyond your insurance benefits
  • Keep up with your premium payments so your coverage doesn’t lapse

Finding providers, maximizing your benefits, and budgeting for any out-of-pocket vision costs will ensure you get the most value from your Avēsis vision plan.

Locating Avēsis Providers for Your Vision Needs

As you can see, Avēsis offers robust vision benefits with the advantage of keeping your care affordable. With some savvy planning and research, finding eye doctors and retailers that accept your Avēsis insurance is totally manageable.

Use the handy tips outlined here to locate high-quality Avēsis network providers in your local area for eye exams, glasses, contacts, and other vision services you need. Enjoy the savings and convenience that come with tapping into your vision insurance coverage.

How do I use my Avēsis benefits?

Avēsis’ specialty benefits complete healthcare so members can live life completely. We deliver health outcomes designed to produce life-changing impacts on the communities we serve.

For over 40 years, we’ve provided personalized care designed to uplift communities. Our care is centered on our members, and we build community health networks to make it easier for our government partners to get help and to keep the business community connected.

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Oral health benefits that are flexible, affordable, and focused on outcomes. Through tailored network and product solutions, we offer accessible quality dental care.

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Vision plans are useful for partners because they link eye health to overall health, which improves outcomes, lowers costs, and makes access easier. We prioritize the member experience by offering products and networks designed for easy access to whole-eye care.

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A full range of wellness, prevention, nutrition, and meal delivery services built around a new platform for additional products that meet all of a member’s health and wellness needs.

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Personalized health and wellness benefits based on consumer design principles, customized interventions, and core competencies to best serve our clients and members

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Our all-around approach to care gets members what they need, where they need it, and when they need it. We’re experts at managing services for millions of members.

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Essential benefits for seniors prioritizing their overall well-being.

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Affordable, quality care for employers with a people-centered, health-focused approach to dental and vision care.

Helping bring school-based dental care to children across Kentucky

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Who Takes Avesis Vision Insurance? – InsuranceGuide360.com

FAQ

Does Avesis cover pair eyewear?

The Avesis plans provide covered members with a complete vision examination, a pair of spectacle lenses, and a frame. If the member elects to receive contact lenses in place of spectacle lenses and frames, Avesis will provide a generous allowance of $110 or $130 depending on the plan selected.

Who owns Avesis Vision?

Since 1978, we’ve provided vision, dental, and hearing health coverage to millions of Americans. And now, as a wholly owned subsidiary of the Guardian Life Insurance Company of America, we can do that with an even greater focus and commitment than ever before.

How does Avesis reimbursement work?

Members who choose out-of-network providers are responsible for making full payment at the time of service. For reimbursement up to plan allowances, submit a claim through your member login or submit the form, and mail it with your detailed receipt for services to: Avēsis Third Party Administrators, Inc.

How do I find eye doctors who take Avesis insurance?

Use Zocdoc to find eye doctors near you who take Avesis insurance. It’s simple, secure and free. Loading Zocdoc verifies all providers before they can appear in Zocdoc search results. Every provider that appears in search is open to new patients.

Does Avesis offer vision care?

Avesis members have access to one of the most comprehensive vision care networks available. By contracting with over 25,000 providers from private practice and retail chain locations, Avesis can deliver excellent coverage, high quality of care, and nationwide choices to our members. Zip Code must be numbers only. Radius must be numbers only.

Do eye doctors accept Avesis for video visits?

You can search on Zocdoc specifically for Eye Doctors who accept Avesis for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.

Does Avesis cover a video visit?

Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Eye Doctors who accept Avesis for video visits by selecting your carrier and plan from the drop-down menu at the top of the page.

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