Clarity About Your Vision Benefits

Optometrists Ophthalmologists

Optometrists examines eyes and treats and diagnoses eye problems.

  • Uses your vision benefits
  • Select a provider from EyeMed network using the Vision Provider Locater on EyeMedVisionCare.com.
  • Used for routine eye exams, glasses and contacts
  • Routine eye exam: $0 copay
  • Routine eye exam with retinal imaging: $0 copy plus an additional fee for retinal imaging

Ophthalmologists treat and prevent medical disorders of the eye, including surgery.

  • Uses your medical benefits
  • Find an ophthalmologist on BayCarePlus.org:
    • Search “Ophthalmology” from the Provider Search Directory.
  • Specialist, with a specialist copay
  • Used for medical treatment of eye disorders including surgery, i.e., diabetic-related eye conditions, amblyopia (lazy eye), retinal conditions, and cataract, glaucoma and retinal surgeries
  • A referral is required, except for members of the BayCarePlus Premier plan. 

Important Disclaimers

For accommodations of persons with special needs at meetings call (877) 549-1741 (TTY: 711).

BayCare Select Health Plans is an HMO plan with a Medicare contract. Enrollment in BayCare Select Health Plans depends on contract renewal. All BayCare Select Health Plans include Part D drug coverage.

To enroll, you must have both Medicare Parts A and B and reside in the plan service area.

You must continue to pay your Medicare Part B premium. Enrollment in a BayCare Select Health Plan may be limited to specific times of the year.

Members must use plan providers except in emergency or urgent care situations. If a member obtains care from an out-of-network provider without prior approval from BayCare Select Health Plans, neither Medicare nor BayCare Select Health Plans will be responsible for the costs.

Information on our utilization management processes, including prior authorization, concurrent review, post service review and appeals, can be found online at Member.BayCarePlus.org.

BayCare Select Health Plans complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

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MID: H2235_25-077_M_2025 - Last updated: 9/25/2024