Take Advantage of Your Vision Benefits

Poor eyesight can impact your experience with so many things, like reading, driving or even watching TV. That's why we're focused on helping you—and your eyes—stay healthy!

 

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As an Elevate Medicare Advantage member, you have vision benefits through any in-network provider, including EyeCare Specialties of Colorado, at no extra cost. Your benefits include routine vision exams and an annual allowance for eyewear or contact lenses.

  • One routine eye exam every year
  • Allowance for contact lenses and/or eyeglasses (lenses + frames) every year

For more information about your hearing benefits, refer to your plan’s Summary of Benefits or Evidence of Coverage (EOC).

Frequently Asked Questions

To find an in-network provider, visit our Provider Directory or contact Health Plan Services at (303) 602-2111. TTY users call 711. Our hours of operation are 8 a.m. to 8 p.m., seven days a week.

You can go to the Denver Health Eye Clinic or any Eyecare Specialties of Colorado location. See locations at eyecarespecialtiesco.com.

See your current vision allowance based on your plan by reviewing your Summary of Benefits or Evidence of Coverage.

DHMP will reimburse Elevate Medicare Advantage members up to the annual maximum vision allowance for prescription lenses and contacts if purchased at another provider. 

DHMP will not reimburse for other vision care (exams, non-prescription eyewear, etc). The claim must be submitted with 12 months of the date of service. Please see the member reimbursement form.

You’re covered for medically necessary cataract surgery that includes a standard intraocular lens and one pair of basic eyeglasses or contact lenses after each surgery. 

  • Upgraded frames or lens options are not covered by DHMP and will be your responsibility.
  • If you have cataract surgery on both eyes at different times, you’ll receive one pair of eyeglasses or contacts after each surgery. You can’t save the first benefit to use later.
  • Your post-cataract eyewear benefit is separate and does not reduce your regular vision allowance for prescription glasses or contacts.
  • You can get your post-surgery eyeglasses or contacts from an in-network vision provider or request reimbursement from DHMP. However, reimbursement requests must include the correct diagnosis codes related to cataract surgery, so you will need to provide the appropriate medical records. For full details on plan rules and cost-sharing, please see your Evidence of Coverage.