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Avesis

Benefits Managers FAQs

  • Coverage Questions

  • Can members end their vision coverage mid-year?

    Members with a qualifying event—marriage, divorce, birth, termination of employment, etc.—can terminate coverage. All others will have to wait until the next open enrollment anniversary to dis-enroll.

  • Do you cover domestic partners under the vision program?

    Yes, as long as the employer offers benefits to employees with domestic partners, Avesis will cover them.

  • What are medically necessary contacts?

    Medically necessary contacts are required when a vision care provider has determined that spectacle lenses and frames would not achieve the best vision correction possible due to a medical condition such as most cases of keratoconus, corneal trauma, post-cataract surgery, and anisometropia.

  • Can an employee elect COBRA after terminating employment?

    Yes, Avesis offers COBRA to terminated employee; however, if Avesis does not administer coverage, the employer is responsible for continuing to administer the benefit.

  • Dependent Questions

  • Up to what age is an elligible dependent covered?

    Eligible dependents are generally covered up to age 19, or, in the case of full- time students, age 26. The exact age limitations are specified in your group's insurance certificate and vary by state.