DeltaVision Offers Competitive Vision Benefits for Employers of All Sizes
Did you know 75% of Americans use some kind of corrective eyewear. For reading, for driving, or just getting through the workday, we rely on glasses and contact lenses to see clearly.
DeltaVision is a flexible, affordable vision benefit with access to a massive network of vision providers through the EyeMed Vision Care network. Groups can choose from a variety of benefit and funding options, including voluntary plans that require no employer contribution!
Plus, you get easy one-stop-shopping for both your dental and vision plans. Our Iowa-based sales team can help you design both benefits at the same time!
Call us today for a fast, free quote!
Want more information? Click here to view the DeltaVision brochure and plan designs.
Can I see one network provider for my exam and purchase my glasses through another network provider?
Yes. If you see two network providers, you simply make an appointment for the exam with the network provider of your choice, then make another appointment for materials with your other network provider of choice. The network providers will verify eligibility and plan coverage and to obtain authorization to provide services.
Note: If you want to have your prescription filled by a network provider, other than the one who performed the exam, please check with the doctor's office to ensure that it will fill another doctor's prescription.
Do I need a claim form if I see a network provider?
Claim forms are not required for services obtained at network providers. The provider will file all in-network claims.
My provider is not in the network. Do I need a claim form?
Non-network providers may require members to pay for their services. Members may then submit an out-of-network claim form and receipts to EyeMed for reimbursement. Click here for an out-of-network claim form or call 1-888-899-3747 to receive a printed form. The claim form will be mailed directly to the member within 24 hours. Forms can also be emailed or faxed. Out-of network reimbursements are sent directly to the subscriber within 15 business days. Payment will include an explanation of benefits.
What if I have an emergency, such as lost, stolen or broken glasses?
If an emergency arises, call customer service at 1-888-899-3747 and explain the situation to the representative. Customer service will determine if you are eligible for coverage and will help you find a network provider.
If you elect to see an out-of-network doctor, pay for your procedures, fill out an out-of-network claim form, attach your itemized receipts, and submit them to EyeMed. Provided you are eligible for services, EyeMed will reimburse the claim according to DeltaVision's out-of-network doctor schedule of allowances.
What type of eyeglass lenses am I eligible for? What about progressive lenses?
To further meet the needs of its members, DeltaVision allows members to purchase the most popular lens options at controlled costs. The lens options below represent a substantial number of all lens add-ons purchased. Discuss the benefits and cost differences with your eye doctor.
Remember it is important to be a good consumer when purchasing any vision care products. Evaluate the importance of each option and its out-of-pocket cost. For example, some premium upgrade scratch resistant coats have a substantially greater cost than the standard scratch coating. Premium progressive lenses, because of the degree of cost difference can result in substantial out-of-pocket cost over what is covered by the plan.
Most plans will not provide for the entire purchase including options, and it is important to know what each option will cost. Your eye care professional will be able to help you understand the costs associated with the options you choose.
- UV Coating
- Tint (Solid & Gradient)
- Standard Scratch-resistant
- Standard Polycarbonate
- Standard Progressive (Add-on to Bifocal)
- Premium Progressive
- Standard Anti-Reflective Coating
- Other Add-ons and Services (20% discount off retail price)
Do I need a DeltaVision identification card?
Members should present their ID card at the time of service to help expedite the process, but is not required. Once eligibility is verified, members may access their benefits and are only responsible for paying the designated plan copays and any other incurred charges. The provider will make arrangements for any eyewear to be fabricated and delivered.
What if I am dissatisfied with a network provider or the materials received through a network provider?
If a member has a complaint, he or she would initially contact customer service at 866-723-0513. Representatives are available seven days a week, are thoroughly trained in member resolution, and have the authority to deal directly with members and providers to answer questions or resolve member complaints.
Am I eligible for contact lenses?
Yes. You may choose to obtain contact lenses instead of eyeglasses. For elective contact lenses dispensed by a network provider, your plan provides an allowance toward contact lens materials, and depending on your particular plan type, contact lens exam and fitting fees. In addition, coverage includes the standard vision exam in full, after any copayments.
What are some services that are not covered under the plan?
Benefits are not provided for services or materials arising from:
- Orthoptic or vision training, subnormal vision aids, and any associated supplemental testing.
- Aniseikonic lenses.
- Medical and/or surgical treatment of the eye, eyes, or supporting structures.
- Corrective eyewear required by an employer as a condition of employment, and safety eyewear unless specifically covered under plan.
- Services provided as a result of any worker's compensation law.
- Plano non-prescription lenses and non-prescription sunglasses (except for 20% discount).
- Two pair of glasses in lieu of bifocals.
If my vision is corrected through laser vision correction, will I be able to disenroll from DeltaVision?
No. You must remain enrolled in the plan and pay premiums through the enrollment plan year, regardless of which covered vision benefits you use.
Is the DeltaVision frequency limitation based on date of service, or by calendar year?
It's based on date of service. So, for example, if you have a 12-month frequency limitation on frames and you purchase a pair of frames on April 15, 2010, you will not be eligible for benefits for another pair of frames until one year after that date.
Does DeltaVision provide an explanation of benefits after services are provided?
Yes, as a service to our members, we will mail members an explanation of benefits showing services provided and benefits paid.
Who is EyeMed?
Delta Dental of Iowa offers DeltaVision by utilizing the EyeMed Vision Care Access network. EyeMed provides customer service for members and Delta Dental of Iowa provides sales support and employer administrative services for DeltaVision plans.
DeltaVision is underwritten by Veratrus Benefit Solutions, Inc., a wholly-owned subsidiary of Delta Dental of Iowa, utilizing the EyeMed Vision Care Access network.