Understanding Your Vision Benefits

Seeing clearly is a vital part of good health

That’s why Tufts Health One Care (Medicare-Medicaid plan) offers coverage for routine eye exams and other vision services through the EyeMed Vision Care network. EyeMed offers you the freedom to choose your care from a list of thousands of eye care providers.

What does my vision benefit include?

Tufts Health One Care covers the following as part of your vision benefit through EyeMed:

• Routine eye exam once per benefit year
• One pair of eyeglasses or contacts once every two years
• Discounts for non-covered services

To find a participating EyeMed vision provider, visit the EyeMed website. You can also call EyeMed at 1-866-591-1863 (TTY: 711), Monday through Saturday 7:30 a.m. to 11 p.m., and Sunday, 11 a.m. to 8 p.m. for more information.

Once you've had an eye exam, bring your vision prescription to a participating EyeMed provider (link opens outside Tufts Health Plan's website) to learn more about covered eyewear options. You can also call EyeMed at 1-866-591-1863 (TTY: 711) for more information.

EyeMed Member Portal

EyeMed’s Member Portal is your one-stop-spot to quickly and easily manage your vision benefit. There, you can:

• View benefit details
• Confirm eligibility
• Check claim status
• Print a replacement ID card
• Locate an in-network provider
• Schedule an appointment online
• Get health and wellness information
• Access currently available special offers for members-only savings

EyeMed’s Member Portal also has been updated to include:

• Automatic sizing to fit the screen of any device
• Savings summary showing money you saved using your vision
• benefit
• English-to-Spanish translation

 

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Disclaimers

Tufts Health One Care is a health plan that contracts with both Medicare and MassHealth to provide benefits of both programs to enrollees. It is for people with both Medicare and MassHealth ages 21 through 64 at the time of enrollment.

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook (2024).

Si habla español, tiene disponible los servicios de asistencia de idioma gratis. Llame al 1-855-393-3154 (TTY: 711), siete días de la semana, de 8 a.m. a 8 p.m. La llamada es gratuita.

You can get this document for free in other formats, such as large print, formats that work with screen reader technology, braille, or audio. Call 1-855-393-3154 (TTY:711), seven days a week, from 8 a.m. to 8 p.m. The call is free.

The List of Covered Drugs and/or pharmacy and provider networks may change from time to time throughout the year. We will send you a notice before we make a change that affects you.

Benefits may change on January 1 of each year.

 

H7419_4520_CMS Approved
Page modified on: 3/16/2022 5:35 PM