Starting Jan. 1, 2020, our Medicare Advantage plans only cover one routine vision exam per year, and it must be performed by an EyeMed® participating provider. ConnectiCare providers who also participate in EyeMed’s network can continue performing routine vision exams for our Medicare Advantage members but must submit claims to EyeMed.
Please note, our Medicare Advantage plans do not have any out-of-network benefits for vision. Claims for routine vision exam submitted by nonparticipating EyeMed providers will be denied.
If you are not a participating EyeMed provider, ConnectiCare will continue to cover Medicare-covered services, such as diagnostic vision exams and eyeglasses or contacts after cataract surgery. Claims for these services can still be submitted to ConnectiCare.
Some of our plans — Passage Plan 1 (HMO), Choice Plan 3 (HMO) and Flex Plan 3 (HMO-POS) — include an allowance toward routine eyewear when a member uses an EyeMed participating provider.