Member FAQs

  • General Questions

  • How do I find a summary of my benefits or verify eligibility?

    You may review your plan and verify eligibility in the members section of this website or with a customer care representative.

  • How do I use my plan?
    1. Locate a Provider from the Provider Directory or call customer care at 877-547-6957.

    2. Schedule an appointment and identify yourself as an GVS National powered by Avēsis member.

    3. If you choose to visit an out-of-network provider, GVS National powered by Avēsis offers generous discounts. Pay for your services out-of-pocket and submit a claim form.

    4. Pay any co-pay or additional expenses.

  • What if I don’t see my provider in the Provider Directory?

    1. You may contact GVS National powered by Avēsis or complete a Provider Nomination Form with the name, address and phone number of the provider. The Network Development department will contact the provider for recruitment. Please note that a nomination does not guarantee acceptance.

    2. (OR)

    3. You may visit an out-of-network provider, but you must pay for your services out-of-pocket and submit an itemized statement to GVS National powered by Avēsis . Reimbursement is based on your out-of-network benefit schedule.

  • What if I want to go out-of-network?

    You will receive the maximum benefit when you go to a participating provider. Before visiting an out-of-network provider, please review your out-of-network plan benefits. Reimbursement is based upon your benefit schedule.

  • What is my Member Identification number?

    Your member ID is the number assigned to you during open enrollment. It may be your employee identification number or a number assigned by your benefits manager.

  • How do I get a Member ID card?

    Member ID cards are not required to obtain services. If you choose to carry an ID card, a paper version can be printed from the member portal of this website.

  • How often can I use my benefits?

    Your benefits can be used as frequently as described in the benefits description. You may purchase additional items beyond the plan allowance at a discounted rate within our network.

  • How do I submit an out-of-network claim for reimbursement?

    Sign in to your account to access a claim form with mailing instructions.

  • How can I check on the status of a claim?

    You can check the status of your out-of-network claim by calling a Customer Care representative.

  • Can I apply FSA funds to out-of-pocket vision costs?

    Yes, you can use your Flexible Spending Account (FSA) to pay for a variety of out-of pocket vision expenses including the eye exam co-pay, prescription glasses, contact lenses, and LASIK surgery.

  • Plan Questions

  • What is covered?

    Your plan is designed to cover eye examinations and corrective eyewear upon payment of any applicable copayments. Should you choose options that are not covered within your plan allowance, a discount will be applied. Login and review your Summary of Benefits for complete plan details.

  • What type of frames does GVS National powered by Avēsis cover through my plan?

    You may choose from a wide variety of frames from your provider and stay within your plan allowance and incur no out-of-pocket expenses. If you select a frame with a wholesale cost (what the provider pays the manufacturer for the frame) that exceeds your plan allowance, you will receive that frame at a discounted price.

  • What types of spectacle lenses are covered?

    GVS National powered by Avēsis covers a variety of lenses. Please review your Summary of Benefits for specific plan coverage details.

  • What are medically necessary contacts?

    Medically necessary contacts are required when a vision care provider has determined that spectacle lenses and frames would not achieve the best vision correction possible due to a medical condition. In most cases, diagnoses such as Keratoconus corneal trauma, post-cataract surgery, and anisometropia will qualify for medically necessary contacts. Prior approval is required for services.

  • If I need medical or surgical treatments for eye disease or any eye injury, should I go to an GVS National powered by Avēsis provider?

    No, the GVS National powered by Avēsis plan does not cover medical or surgical treatment for eye disease or eye injury. You should contact your health plan for assistance in locating an appropriate medical vision provider. If you have a medical emergency, call 911 right away or go to the nearest hospital emergency room.

  • Can I receive vision care services from an GVS National powered by Avēsis participating provider without an ID card?

    Yes, it is not necessary to have your ID card to receive services from an GVS National powered by Avēsis participating provider. When you make your appointment with the provider and identify yourself as an GVS National powered by Avēsis member, the provider will contact us to verify what services you are eligible to receive.

  • Can I choose contact lenses instead of glasses?

    Yes, if your plan has coverage for contact lenses. If you choose contacts, you may not be eligible to receive frame and lens benefits during the same service period. Review your benefits online or contact Customer Care for more details.

    GVS National powered by Avēsis members enjoy preferred pricing through our exclusive provider 1800ANYLENS.com.

  • If I have questions about my GVS National powered by Avēsis plan, whom should I call?

    You may contact Customer Care at 877-547-6957 between 7:00 a.m. and 8:00 p.m. EST, Monday through Friday.

  • Consult-an-Eye-Doctor Questions

  • What is Consult an Eye Doctor?

    GVS National powered by Avēsis is the only vision care company to provide its members with 24/7 telephone access to a licensed optometrist for questions about your vision care needs.

  • How do I use this benefit?

    Please contact Customer Care to speak to a licensed optometrist for questions about your vision care needs.

  • ICareLine Questions

  • What is ICareLine?

    GVS National powered by Avēsis is the only Vision Care Company to offer 24/7 telephone access to licensed therapists who can support you and your family through any concerns regarding vision services or diagnoses.

  • How do I use this benefit?

    Please contact Customer Care to speak to a licensed therapist for support or concerns regarding your vision services or diagnoses.

  • LASIK Questions

  • Is LASIK a covered benefit?

    All GVS National powered by Avēsis members receive preferred pricing and have exclusive access to one of the nation’s best networks of LASIK surgeons. In addition to an in-network discount, many GVS National powered by Avēsis plans include a LASIK allowance to help pay for services. Please review your Summary of Benefits for specific LASIK benefit information.

  • How can I locate a LASIK provider?

    GVS National powered by Avēsis ’s LASIK Network is unique from the Vision Provider Network. To locate a LASIK provider in your area, please call Customer Care.

  • Eye Wellness Questions

  • How often should I have my eyes examined?

    You and your eye care provider should determine the eye exam schedule that best meets your eye care needs. The American Optometric Association recommends that adults aged 19 to 40 with normal vision receive eye exams every two to three years, adults 41 to 60 receive eye exams every two years, and adults 61 and older receive annual eye exams. People with vision problems, including those who wear prescription corrective eyewear, should visit their eye care professional at least annually.

  • Why should I have a regular eye exam?

    Regular eye examinations are important to your overall health. In fact, eye exams can be used to spot symptoms of diseases and conditions like diabetes, high cholesterol, hypertension, cataracts, multiple sclerosis, brain tumors, lupus, AIDS, osteoporosis, rheumatoid arthritis, and Graves’ disease.

  • When should my child have his or her first eye exam?

    The American Optometric Association suggests that children should have their first regular eye exam at six months of age. Follow-up exams should be done around age two to three because a child’s visual system undergoes its most rapid development at this age, and vision correction is most effective.

  • How often should children’s eyes be examined after their initial eye exam?

    As with adults, children’s eyes should be examined every two years. Children with an eye or vision problem or a family history of eye disease should receive annual exams.





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