Vision and Eyewear

Mass Advantage members receive an annual eye exam, which can help detect health issues such as cataracts and glaucoma. The vision and eyewear benefit includes an annual allowance for purchasing eyewear. If additional costs arise, members can use their Prepaid Benefits Card Wellness allowance to cover the extra expense. Mass Advantage has partnered with EyeMed to provide routine vision services and additional eyewear allowances.


Benefit	Basic (HMO)	Plus (HMO)	Premiere (PPO)	Extra (PPO)
	Medicare-covered vision exam: $25 copay Non-Medicare covered Routine Eye Exam: $0 copay (one per calendar year)	Medicare-covered vision exam: $15 copay Non-Medicare covered Routine Eye Exam: $0 copay (one per calendar year)	In-Network: Medicare-covered vision exam: $30 copay Non-Medicare covered Routine Eye Exam: $0 copay (one per calendar year) Out-of-Network: Medicare-covered vision exam: $45 copay Non-Medicare covered Routine Eye Exam: $45 copay (one per calendar year)	In-Network: Medicare-covered vision exam: $45 copay Non-Medicare covered Routine Eye Exam: $0 copay (one per calendar year) Out-of-Network: Medicare-covered vision exam: $65 copay Non-Medicare covered Routine Eye Exam: $65 copay (one per calendar year)

Basic (HMO)
Medicare-covered vision exam: $25 copay Non-Medicare covered Routine Eye Exam: $0 copay (one per calendar year)

Plus (HMO)
Medicare-covered vision exam: $15 copay Non-Medicare covered Routine Eye Exam: $0 copay (one per calendar year)

Premiere (PPO)
In-Network: Medicare-covered vision exam: $30 copay Non-Medicare covered Routine Eye Exam: $0 copay (one per calendar year) Out-of-Network: Medicare-covered vision exam: $45 copay Non-Medicare covered Routine Eye Exam: $45 copay (one per calendar year)

Extra (PPO)
In-Network: Medicare-covered vision exam: $45 copay Non-Medicare covered Routine Eye Exam: $0 copay (one per calendar year) Out-of-Network: Medicare-covered vision exam: $65 copay Non-Medicare covered Routine Eye Exam: $65 copay (one per calendar year)

$200 allowance per calendar year to use towards the purchase of one of the following: contact lenses, eyeglass lenses, eyeglass frames, or eyeglasses (lenses and frames).

Eyewear allowance must be received from an EyeMed Access Network participating provider or retail location.

Prepaid Benefits Card Wellness Allowance can be used for additional eyewear costs.

Contact

For more information contact us at (844) 918-0114 HMO or (844) 915-0234 PPO / TTY:711

We’re available October 1 – March 31, 8:00 am – 8:00 pm, 7 days a week;
and, April 1 – September 30, 8:00 am – 8:00 pm, Monday – Friday.