-- View source
Home
Dentists
Subscribers
Employers
Brokers
Individual & Family Plans
DeltaVision®
Quick Facts
Benefits and Options
Enroll New Groups
Electronic Enrollment
Frequently Asked Questions »
Contact Information
Document Download
About Us
Career Opportunities
Privacy Policies
Delta Dental of AZ Foundation
Site Map
Current Location:  Delta Dental of Arizona >DeltaVision >Frequently Asked Questions November 20, 2009
Frequently Asked Questions
 
  1. How do I reach EyeMed Customer Service by phone or fax?
     
  2. Why should I use a contracted vision provider rather than one that is not affiliated?
     
  3. Why do I need an eye examination, especially if I haven’t had a prescription change or I don’t have a vision problem?
     
  4. How do I access my vision benefits?
     
  5. Will I need to obtain a claim form to receive services?
     
  6. How long do I have to wait to get an appointment with my vision care provider?
     
  7. What is the difference between “medically necessary” and “cosmetic” contact lenses?
     
  8. Can I get glasses and contact lenses?
     
  9. Does the plan limit the kind of eyeglass frames I can choose?
     
  10. What about extras, such as ultraviolet protection, anti-scratch coating and anti-reflective coatings?
     
  11. Does your provider list include all types of eye care professionals?
     
  12. What is the difference between an ophthalmologist, optometrist and optician?
     
 
  1. How do I reach EyeMed Customer Service by phone or fax?
    Our Customer Service Representatives are eager to assist members.
    Toll-Free – 866-839-3633
    Hours of Operation:
    Monday – Saturday 5 a.m. to 8 p.m. (PST)
    Sunday 8 a.m. to 5 p.m. (PST)   back to top

  2. Why should I use a contracted vision provider rather than one that is not affiliated?
    Using a contracted vision provider allows you to take advantage of negotiated contracted rates with providers, thus lowering out-of-pocket costs. The plans do, however, allow for out-of-network member reimbursement for covered services.   back to top

  3. Why do I need an eye examination, especially if I haven’t had a prescription change or I don’t have a vision problem?
    An eye examination means more than getting a prescription – it evaluates your eye health and is critical in the early detection of several vision and health-related conditions, including glaucoma, diabetes, cataracts, and hypertension. And, because early detection is the key for treatment, periodic eye examinations play a vital role in ensuring the health of your eyes.

    Eye examinations are also important for the health and safety of children. The American Optometric Association recommends that children receive their first eye examination from an eye care professional as early as six months of age. Afterwards, your provider will advise you when your child’s next eye examination should be scheduled.   back to top

  4. How do I access my vision benefits?
    The benefit is designed to offer members a hassle-free experience. The following outlines the steps to access the plan benefit.

    • Locate the provider nearest you by calling the Customer Care Center or by accessing the Provider Locator Service through the website.

    • Schedule an appointment: Many provider locations have evening and weekend hours to accommodate patients’ busy schedules and some locations, including LensCrafters, have walk-in appointments available. Members may identify themselves as a Canyon member at this time.

    • Receive Services: When you arrive at the provider’s office, identify yourself as a Canyon member and present your ID card.
      back to top

  5. Will I need to obtain a claim form to receive services?
    For in network services, you do not need to obtain a claim form. Simply tell your provider that you are a Canyon member when you make your appointment or visit a participating provider location. You should present your ID card to identify yourself as a member.

    For out-of-network services, you may obtain a claim form by calling the toll free customer care number listed above. No pre-authorization is required.   back to top

  6. How long do I have to wait to get an appointment with my vision care provider?
    You should be able to schedule a routine appointment (unless you are requesting a specific time or day of the week)
    within two to three weeks. Emergency visits should be scheduled within 24 hours.   back to top

  7. What is the difference between “medically necessary” and “cosmetic” contact lenses?
    “Medically necessary” contacts are a covered benefit for members that have one of four medical conditions:
    • Aphakia resulting from cataract surgery on trauma;

    • Visual acuity problems that cannot be corrected with spectacles to 20/70 or better in the better eye with spectacle lenses;

    • Anisometropia of 4 diopters or more, where contact lens corrections will improve visual acuity to 20/70 or better in the poorer eye;

    • Keratoconus.

    Most standard contact lens purchases are classified as “cosmetic” or “elective” because the patient has a choice between wearing contacts or glasses. Please note that the allowances for cosmetic or elective contact lenses are different from allowance for medically necessary lenses.   back to top

  8. Can I get glasses and contact lenses?
    This will vary by your specific plan coverage. In most cases, contact lenses are in lieu of eyeglass lenses; frame and contacts may occur within the same benefit period. Please refer to your Certificate of Coverage for specific plan allowances.   back to top

  9. Does the plan limit the kind of eyeglass frames I can choose?
    To ensure complete member satisfaction, members may choose from any available frame at a provider location. Members may apply their frame allowance to the frame of their choice, and will receive 20% off any remaining balance – equating to significant savings on high quality eyewear.

    Most independent providers and all LensCrafters locations carry high quality designer frames by Luxottica, which may include: Anne Klein®, Brooks Brothers®, Persol®, Vogue® and many others.   back to top

  10. What about extras, such as ultraviolet protection, anti-scratch coating and anti-reflective coatings?
    Members pay a scheduled, fixed fee equating up to 40% off on the most popular lens options such as ultraviolet, scratch resistant and anti-reflective coatings, tints, progressive lenses and polycarbonate lenses.   back to top

  11. Does your provider list include all types of eye care professionals?
    Our network of vision care providers includes ophthalmologists (MD/Dos), optometrists (ODs) and opticians (RDOs). All providers are carefully credentialed before they are admitted into our network. See below for a description of each.   back to top

  12. What is the difference between an ophthalmologist, optometrist and optician?
    • Ophthalmologists (MD or DO): Physicians who specialize in the treatment of diseases and disorders of the eye. Ophthalmologists are qualified to provide comprehensive eye examinations, treat and manage conditions and diseases of the human eye and visual system, and perform eye surgery.

    • Optometrists (ODs): Doctors of Optometry are primary health care providers who examine, diagnose, treat and manage conditions and some diseases of the human eye and visual system. Optometrists are qualified to provide comprehensive eye examinations.

    • Registered Dispensing Opticians (RDO): Opticians registered with the state Medical Board, who sell, dispense and/or fabricate eyeglasses in accordance with the prescriptions of optometrists and ophthalmologists. Opticians are not qualified to provide eye examinations.
      back to top


DeltaVision® is offered through Canyon Insurance Services, Inc., a wholly owned subsidiary of Delta Dental of Arizona, in partnership with EyeMed Vision Care, LLC.

Visit the website at www.eyemedvisioncare.com

 

© 2001-2009 Delta Dental Plans Association and Delta Dental of Arizona
All Rights Reserved.