Davis Vision Insurance Copay



  1. Davis Vision Insurance Copay Program
  2. Davis Vision Insurance Company
  3. Davis Vision Insurance Copay Assistance
  4. Davis Vision Insurance Benefits
  5. What Does Davis Vision Plan Cover

Davis Vision, a national administrator of routine vision care programs, provides benefits under the Vision Plan. Each enrolled person may receive an eye exam, one pair of eyeglasses or contact lenses, and frames once each calendar year. There is a monthly rate for enrollment in the plan and there may be an additional copay when you receive services.

You can receive service from providers who participate with Davis Vision or from non-participating providers. The greatest cost savings are with participating providers.

Eligibility

All benefits-eligible faculty and staff are eligible to enroll in the Vision Plan. If you are enrolled in the plan at the time of your retirement, coverage continues during your retirement.

For more information, call Davis Vision Customer Service at 1-800-999-5431. Information shown on this website is not intended to be, nor should be construed as, professional advice. Those reviewing the information should consult with a qualified professional. In California, Davis Vision may do business as Davis Vision Insurance Administrators. Vision Care Is the Most Impactful Investment in Overall Wellness. The risk of blindness can be reduced by 90%, with timely treatment and follow-up care. With Davis Vision, you will always receive quality, affordable eye care from qualified eye care professionals. Scheduling an appointment and understanding your benefits is simple.

Insurance

How and When to Enroll

Enroll online through Self Service > Benefits on Wolverine Access. There are three times when you may enroll or make changes:

  • When you are a new hire or newly eligible for benefits
  • During the annual open enrollment period, usually in October with changes effective Jan. 1
  • When you experience a qualified family status change

Participating Providers

After enrollment, make an appointment with a Davis Vision participating provider when you need vision care services. You will pay a co-pay (if it applies) when you receive services, and the balance will be paid through the plan. You will not have to file any claim forms.

Davis Vision Insurance Copay Program

What

To access plan information exclusively for U-M participants and to find a Davis Vision provider in your area:

  1. Go to the Davis Vision website
  2. Enter 2032 in the Client Code field, and then click Submit to open the University of Michigan welcome page.

U-M's Kellogg Eye Center and the University Health Service Eye Care Clinic and Optical Shop are Davis Vision in-network providers.

Non-Participating Providers

If you receive services from a non-participating provider, you will be required to pay for the services at that time and then file a claim with Davis Vision for partial reimbursement. Before your appointment with a non-participating provider, download and print a Davis Vision Direct Reimbursement Claim Form, or request to have one sent to you by calling the SSC Contact Center. Present the claim form to the non-participating doctor or laboratory at the time services are provided so they can complete applicable sections of the claim form.

Keep a copy of the claim form and your receipt for your records. Mail the completed and signed claim form with your itemized receipt to:

Vision Care Processing Unit
P.O. Box 1525
Latham, NY 12110

A check will be sent to your home address to reimburse you up to the allowable expenses listed under Coverage and Copays.

No ID Card Needed

No ID Card is issued or needed for the Vision Plan. Davis Vision will send you a welcome kit and plan brochure when you enroll.

'Splitting' Your Vision Care Benefits

Insurance

Davis Vision Insurance Company

You may 'split' your benefits by receiving your eye examination, eyeglass lenses and frame or contact lenses on different dates or through different provider locations. Continuity of care will best be maintained when all available services are obtained at one time from the same provider. To maximize benefit values, Davis Vision recommends obtaining all services from a participating provider.

Monthly Rates

Eligible faculty, staff, and retirees pay the full monthly premium for enrollment in the Vision Plan. There is no university contribution.

Davis Vision Insurance Copay Assistance

Davis vision insurance copay card

2021 Rates

  • You only, $7.71
  • You plus one dependent, $12.04
  • You plus two or more dependents, $20.90

If you are paid biweekly, payroll deductions will be taken from your first two paychecks each month. If there are three pay dates in a month, no vision plan deductions will be taken from the third paycheck.

If you are paid monthly, payroll deductions will be taken from each monthly paycheck.

COBRA 2021 Rates

COBRA participants pay the full premium plus 2 percent for administrative fees.

  • You only, $7.86
  • You plus one dependent, $12.28
  • You plus two or more dependents, $21.32

Contact Davis Vision

Davis Vision Insurance Benefits

Call Davis Vision at 1-800-999-5431. You will hear a prompt to 'Enter the member's ID number.' Your Davis Vision member ID number is your UMID or your Social Security Number. If you don't know your member ID number, or wish to bypass the menu options, simply do nothing. The prompt will repeat two more times, and when you don't enter a member ID number after the third prompt your call will be automatically transferred to a Davis Vision representative.

Visit the Davis Vision website. Enter 2032 in the Client Code field, and then click Submit to open the University of Michigan welcome page.

Vision Plan Forms and Documents

What Does Davis Vision Plan Cover

Download and print a Davis Vision Direct Reimbursement Claim Form to request reimbursement if you go to a non-participating provider.