How Your Vision Benefit Works

Know What’s Covered and How to Use Your Benefit

Original Medicare does not cover routine eye care. Your Elderplan Plus Long-Term Care (HMO-POS D-SNP) plan adds routine vision as a supplemental benefit — including annual eye exams, prescription eyewear, and contact lenses — at no additional premium.

Your Vision Benefit at a Glance

Covered: One routine eye exam for eyewear per calendar year
Your cost: $0 copay
Schedule your exam once a year through any Superior Vision network provider. Show your Elderplan Member ID Card — not your Medicare card — at your appointment.

Covered: Frames and lenses or contact lenses
Annual allowance: $600 per calendar year
Your cost: $0 copay up to the $600 annual limit

How to Use Your Superior Vision Benefit

Using your vision benefit through Superior Vision is straightforward. You do not need a referral from your Primary Care Provider.

Find a Superior Vision network provider. Use the search tool on the Find a Vision Provider page or visit supervision.com.
Schedule your appointment. Call the provider directly. Let them know you are an Elderplan member with Superior Vision coverage.
Show your Elderplan Member ID card— not your red, white, and blue Medicare card — at your vision appointment. You access your Superior Vision benefit through your Elderplan membership.
Your provider handles the rest. Superior Vision network providers submit claims directly to Superior Vision on your behalf. You pay $0 for the covered exam and any difference above the $600 eyewear allowance at the time of purchase.

In-Network vs. Out-of-Network Vision Providers

In-network (Superior Vision providers): Superior Vision network providers who have agreed to the plan’s fee schedule. You receive the full value of your benefit — $0 exam copay and the $600 eyewear allowance applied directly at the point of purchase.

Questions about your Superior Vision benefit or out-of-network claims?

Call Superior Vision: [VERIFY: confirm Superior Vision member phone number and hours]
Call Member Services: 1-877-891-6447 (TTY: 711), 8 a.m.–8 p.m., 7 days a week.

Important Reminders About Your Vision Benefit

Your $400 Flex Benefit can extend your vision benefit. If your eyewear or exam costs go beyond the $600 annual allowance, your Flex Benefit can cover the difference. Unused Flex Benefit funds expire December 31
Annual limit applies. Your routine eyewear benefit includes a $600 annual maximum. Once you reach that limit, you are responsible for any remaining costs. Your Flex Benefit can help cover the difference.
Benefit resets each calendar year. Your routine eye exam and $600 eyewear allowance reset on January 1 each year. Unused benefits do not carry over.
Always use your Elderplan Member ID card— not your Medicare card — at all vision appointments, whether routine or medical.
Cataract eyewear is separate. Eyeglasses or contacts received after cataract surgery are covered at $0 and are not counted against your $600 annual eyewear allowance. The per-surgery limit applies — you receive one pair per cataract surgery, not one pair per eye.
Eyeglasses do not require replacement more frequently than every 2 years unless medically necessary, or the glasses are lost, damaged, or destroyed.