Managing your health
the easy way

If you are an Avēsis member, please log in and click the Search for Providers option. The Provider Finder will display a full list of all conveniently located providers participating in your plan. Since some providers don’t participate in all of our plans, logging in will give you the most accurate list.

If you are in need of vision care services and your Avēsis ID Card has not yet arrived in the mail, you can print off a temporary ID card. Simply log in as a member, select “Print ID Card,” and print!

Your Avēsis vision care benefits are outlined in your group’s Summary Plan. At any time, additional items beyond the covered plan allowance are available to you at a substantial discount.

If you use an in-network provider, you never have to file a claim. Members who choose out-of-network providers are responsible for making full payment at the time of service. For reimbursement up to plan allowances, submit a claim through your member login or submit the form, and mail it with your detailed receipt for services to:

Avēsis Third Party Administrators, Inc.
Claims Department
P.O. Box 38300
Phoenix, AZ 85069-8300

No. Once you are eligible for the plan’s covered services, simply select a provider from our Provider Directory. When you make an appointment, please let the provider’s office know that you are a member of the Avēsis program. You’ll need only your name and member ID; they’ll take care of the rest!

You’ll save a great deal more when electing a provider who participates in the Avēsis program. But we want you to enjoy the flexibility to choose any provider you like. When visiting an out-of-network provider, you’ll pay in full at the time of service, then submit a claim to us for reimbursement up to your covered amounts (refer to your benefit summary for details). Submit a claim through your member log in or submit the form found here, and mail it with your detailed receipt for services to:

Avēsis Third Party Administrators, Inc.
Claims Department
P.O. Box 38300
Phoenix, AZ 85069-8300

Most Avēsis plans are comprehensive and include eye examinations and corrective eyewear upon payment of any applicable copayments. Copay amounts and other details vary, so check your exact benefits by logging in. Should you choose options that are not covered within your plan allowance, simply pay the difference at the time of service.

You may choose any frame in your provider’s inventory or on the market today! If you stay within your plan allowance, you’ll incur no out-of-pocket expenses. If you exceed your plan allowance, you’ll still get that frame at a discount.

Avēsis is not owned by, nor do we own retail optical outlets, optical labs, or frame or lens manufacturers, so we have no vested interest in your selection. Our singular focus is on providing the best essential vision care benefits available.

Avēsis covers standard single-vision, bifocal, and trifocal lenses in plastic or glass. Specialty lenses — progressive, photo-chromatic, high-index, etc.— are available to members at a uniform discounted price. Your allowance is equal to the plan payment for standard lenses, and you’ll pay only the difference between the allowance and the discounted price, resulting in substantial savings for you. Refer back to your benefit summary for more information.

You’ll save on lens coatings—tints, anti-reflective, and scratch-resistant coatings, etc.— too, available at the uniform discounted price.

Avēsis leaves the judgment for your eyewear needs where it belongs: with your provider, who will ensure optimal optic correction and fit.

When a vision care provider has determined that spectacle lenses and frames will not achieve the best vision correction possible due to a medical condition, those contact lenses are deemed medically necessary. In most cases, the following diagnoses will qualify a member for medically necessary contacts (prior approval is required):

• Keratoconus
• Corneal trauma
• Post-cataract surgery
• Anisometropia

No. Your major medical plan will usually cover eye disease or injury. The Avēsis plan covers primary vision care. If you need help locating an appropriate medical vision provider, please contact your health plan’s customer service department. If you have a medical emergency, call 911 or go to the nearest hospital emergency room.

Can I receive vision care services from an Avēsis participating provider without an ID card?

Yes! You need only your name and date of birth when scheduling your appointment. Tell the provider’s office that you’re an Avēsis plan member, and they’ll do the rest.

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