Understanding Your Vision Benefits

Seeing clearly is a vital part of good health

That’s why Tufts Health Direct 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 Direct covers the following as part of your vision benefit through EyeMed:

• Routine eye exams for Members aged 19 or older once every 24 months. For Members under 19 years of age, routine eye exams are covered every 12 months.
• Members with diabetes are eligible for routine vision exams every 12 months, and we strongly encourage you to take advantage of this benefit.
• Additionally, eyeglasses are covered for Members under 19 years of age. For more detailed information on vision coverage, please refer to the Schedule of Benefits.

How do I find a participating EyeMed vision provider?

• You can find EyeMed Select Providers by calling EyeMed at 866-504-5908 or visiting https://eyedoclocator.eyemedvisioncare.com/tuftsac/en/
• You must receive routine eye examinations from a Provider in the EyeMed Vision Care Select network in order to obtain coverage for these services

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 Web 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