- EyeMed Insurance Update: SMO has applied to be an EyeMed provider six times since October 2017 and has been denied by EyeMed five times (our most recent application submitted in March 2018 is still pending). EyeMed states:
“Unfortunately at this time we do not need additional locations for the following network(s):
EyeMed Access, EyeMed Select, Aetna
Our networks are designed to provide adequate access for our members and adequate volume for participating providers. We feel strongly and care significantly about balancing both sides of this equation. We therefore carefully evaluate the impact of all locations on our existing network.
Factoring in population, EyeMed members and projected growth, our current network of providers, our breadth of offering, and your locations, we are not in need of any additional provider locations in your area at this time.
We monitor our network accessibility and availability regularly to make any necessary adjustments and to provide new service locations as member growth warrants. You are welcome to reapply as we are constantly re-evaluating our network.”
If you have EyeMed or Aetna Vision, we can still see you and we can offer a 20% discount, but you would need to pay for your exam/glasses out-of-pocket. In addition, EyeMed will provide some reimbursement if you have out-of-network benefits, but you will not get the full benefit of the insurance you're paying for. If you are upset that you can’t have your exam and your glasses covered through our office, please contact EyeMed and let them know that your provider of choice isn’t currently in-network, that you don’t agree that there isn't enough need in the area for us to be part of EyeMed, and that you want us added to the list of participating providers.
You can call their credentialing department at: 513-765-4321 (they might tell you to call a different number, but this is the department that makes the decisions to accept/deny applications), send an email to: firstname.lastname@example.org, or send a letter to: 4000 Luxottica Place, Mason, OH, 45040.
We are allowed to re-apply every 30 days and plan on applying again when we are allowed (and every 30 days after that), but aren’t optimistic they will change their minds – giving them your input may help make the difference!
- We no longer accept Medicaid as a primary insurance as of June 1, 2017 and are unable to follow patients who have Medicaid as their primary insurance for ongoing care. We are still able to see you if you have Medicaid as a secondary insurance (i.e., Medicare as your primary insurance and Medicaid as your secondary insurance). Please do not confuse this with Medicare insurance - we still accept Medicare. If you have been affected by this change, we urge you to make arrangements for the services of another ophthalmologist/optometrist as soon as possible to maintain the continuity of your care. If you need a referral, you might contact your health plan, the Michigan Society of Eye Physicians and Surgeons (313-823-1000), the Michigan Optometric Association (517-482-0616) or the Calhoun County Medical Society (269-660-0893). Upon written authorization, a copy of your medical record will be forwarded to your new physician if you so desire [Records Release Form]. Please click here for more information.
- Check out our optical shop specials. Right now, get 50% off a second pair of glasses (click here for details).
830 W. Michigan Ave.
Marshall, MI 49068
Phone: (269) 781-9822 Fax: (269) 781-9839
Toll-Free: (800) 323-3622
Monday – Friday: 8:00AM – 4:30PM *
Some Saturdays: 9:00AM – 1:00PM
* Phones are not answered between 11:30am and 1:00pm M-F