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Sarah Ott

4 years ago

I have community eye care through my work insuranc...

I have community eye care through my work insurance. I am giving them two stars instead of one because they did cover my eye exam with no copay, which is nice. I will tell you why my review is so low. The eyeglasses that I wanted to buy were out of network. That is fine, I understand that insurance companies do that. I also need contact lenses, so I looked on the website to see if they have a contact lens provider that is in network before i bought. They do, so I planned to buy the contact lenses after I received reimbursement from the glasses (a process that takes two months). The website states that they will reimburse 60% of any out of network claim, up to 60% of the total allowance for glasses/contacts. That is all well and good, HOWEVER, what they do NOT state is that they will charge your allowance the entire amount (instead of the 60% that they are giving back to you) and you will not be able to use the remaining 40% for an in-network purchase. SO, if you are faced with the same situation, use any in-network purchases first and then use the remainder for out of network. That little mistake cost me $80.

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