Can Heritage Vision Plans service a large corporation?
Yes. We offer our unique brand of personal service for clients as large as Fortune 500 corporations and as small as local neighborhood businesses.
If company representatives or I have questions, who do I contact?
Every company is assigned a knowledgeable Heritage account representative, who will address questions or concerns you may have. A number of online resources are also available.
How can Heritage Vision Plans reduce a company’s vision care plan expenses and still increase the value of the benefit itself?
We are able to offer increased value by: controlling costs, reducing administrative fees, closely managing our provider network, maximizing use of technology, minimizing overhead, and continually improving our processes.
If a company’s vision benefits plan are part of its medical plan, can you offer a Heritage plan without changes to its medical coverage?
Yes. We can “carve out” vision care from the company’s current benefits plan without affecting medical coverage. The transition will be seamless and cost-free to the company.
Agents & Brokers
How extensive is the Heritage Vision Plans Provider Network?
Our network of optometrists, ophthalmologists, and opticians is nationwide and includes more than 31,000 participating network providers.
My client is a large corporation. Can Heritage Vision Plans service it?
Yes. We offer our unique brand of personal service for clients as large as Fortune 500 corporations and as small as local neighborhood businesses.
How will Heritage work with me to design a plan that is right for my client?
We are able to offer increased value by: controlling costs, reducing administrative fees, closely managing our provider network, maximizing use of technology, minimizing overhead, and continually improving our processes.
Is there information available that will help me explain Heritage Vision Plans value to my clients?
Yes. The Heritage website offers a wealth of information, including partner specificFAQ’s. You can also request information.
If a company’s vision benefit is part of its medical plan, can you offer the Heritage plan without changes to the medical coverage?
Yes. We can “carve out” vision care from the company’s current benefit plan without affecting medical coverage. the transition will be seamless and cost-free to the company.
Members
Who should I call if I have questions about my plan?
You may call our Customer Service Center toll-free at:
800.252.2053
Monday-Friday: 9am – 8pm EST
Saturday: 9am – 4pm EST
Who is eligible for this plan and can I cover my dependents?
Eligibility to participate in this plan is determined by your employer or group. See your benefit manager for eligibility rules.
What does my plan cover?
Your plan covers most basic vision services and may offer discounts on other products and services purchased from Heritage providers. For more information, Log in to View Your Benefit details.
Do I need an ID card?
No ID card is needed to obtain vision services. Simply give the Heritage provider your identifying information (name, date of birth, and the name of your employer or group).
No change is necessary if your provider participates in the Heritage provider network.
Do I have to select a doctor when I sign up for vision?
No. Once you are eligible for the plan, simply select a provider from the Heritage network.
Do all Heritage providers have the same frame selection?
No. Frame selections vary by location and each offers a wide variety of styles to choose from.
Can I get both contacts lenses and glasses?
If your plan covers materials, you may be eligible to receive contact lenses and glasses as a covered benefit in the same plan year. Often contact lenses are in lieu of eyeglasses. For more information, log in to view your benefit details.
What if I take advantage of a sale, coupon, or other in-store specials at a Heritage provider?
The provider may require that you pay in full and submit your itemized receipt for payment at the out-of-network reimbursement rates. For more information, log in to view your benefit details.
Will I need a reimbursement claim form?
When you visit a Heritage Network Provider all of the paperwork will be handled. There is nothing for you to fill out or send in. If your plan provides an out-of-network or out of area benefit and you choose to use a non-Heritage provider, you may download and completethe reimbursement claim form or click the link below to start the process.
If your plan covers medically necessary contact lenses and your provider determines they are required, you may be eligible if one of the following conditions applies*:
Keratoconus
Irregular Astigmatism
Irregular corneal curvature
Post cataract surgery
Significant Anisometropia
Extreme visual acuity problems not correctable with spectacle lenses
*Prior Approval Required
Is Lasik a covered or partially covered benefit?
A discount is available for Lasik Refractive Surgery at designated locations. For details please visit our Lasik page, Or by calling our Lasik partner toll-free at: 855.373.2020
If I need medical or surgical treatments for eye disease or eye injury, should I go to a Heritage provider?
Your Heritage vision plan covers well-eye services. Coverage for eye disease or eye injury is not a benefit under this plan. If you need help locating a medical provider, please contact your health plan. If you have a medical emergency, call 911 or go to the nearest emergency center.
Providers
How do I join and qualify to become a Heritage participating in-network provider?
As a prospective Heritage provider, you will undergo a rigorous initial credentialing and verification process before joining the network. We re-credential providers every two years and may conduct on-site quality assurance audits.
Does Heritage Vision Plans accept all types of providers?
Yes. The Heritage Provider Network includes optometrists, ophthalmologists, and opticians. We accept both private practice providers and those affiliated with retail locations or corporate chains.
How often do you process provider claims?
We process clean claims within 48 hours, and we issue payments twice a month.
Can I submit claims electronically?
Yes. Heritage providers are able to submit claims through our secured Provider Web Portal once enrolled, registration assistance will be provided, along with an overview of the features and benefits.
How will your members know that we are a Heritage Network Provider?
As a Heritage provider, your information will be included in our Heritage Provider Directory. Members will be able to access this information online at Find a Provider or they may contact our Customer Service Center for assistance.
How do I verify a Heritage member?
Heritage members will provide you with their identifying information (Name, Date of Birth or ID Number, and the name of their employer or covered group). Prior to rendering services, you may verify member eligibility, determine level of benefit coverage, and obtain authorizations through our Heritage ProviderWeb Portal or you may contact our Customer Service Center at 800.252.2053, Monday – Friday 9am – 8pm EST and on Saturday 9am – 4pm EST, for assistance.
