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I went to Stanton to purchase a pair of regular and a pair of sunglasses with their 2 for 1 special. The place was filthy. Parking was ridiculous. All the frames on display were filthy, and even though it looks like they have a large selection to choose from, 90% of them are basically the same frame. Very few designer frames. The store was packed. There was very little room to move around and look at the frames. No organization in the store, no 'take a number' or sign-in sheets. I had to walk around to find someone to help me, even though there were 3 standing together talking about personal things. After finally choosing (settling on) 2 frames, I sat down with one of the associates (I don't know if she was an optician or what). We determined my options and went over pricing. I informed her that my insurance company (EyeMed) reimburses me 40% on a second pair of frames and lenses. Stanton is part of EyeMed's in-network providers. She said because it was a 2 for 1 sale, I would have to pay upfront and submit a claim to EyeMed for the 40% reimbursement. She called EyeMed, told them it was a second pair, and they quoted her my reimbursement of $105. She gave me an EyeMed claim form. I paid them $427 and left. I found out today that my claim was denied, that EyeMed only pays 40% if Stanton submits the entire claim to them. Stanton should know this is how it works. They are a rip-off. It's been 11 days and I have yet to get my glasses.
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First time I went there and I do agree. Parking was so bad .I had to call 3x to check status of my frame made promise that they will call back and.There was no call back at all .. wouldn't even mention the name here... Even picking up the frame they don't have a wiping cloth for the glasses after paying hundred dollars for your lens...? what kind of optical place is this?
You should have gotten more information from your insurance company prior to going. As with most vision insurances, they will only pay for one pair of eyeglasses not two. I have worked with Eyemed for many years now, and they do offer a 40% off a second pair of glasses-- you don't get reimbursed 40% you pay the company where you get your glasses-- so if your total comes to $200 on your second pair, you paid a company who is making your glasses $120, you don't get reimbursed for that. You have the option of choosing one pair of glasses that your insurance covers with co payments that are required and if its an in network company they can bill directly. Your claim will be denied by any insurance if it has multiple transactions for glasses, since insurance companies will only pay for a portion of one pair of glasses. And just because a company might be in network with an insurance plan, doesn't mean they have the ability to bill directly. With a major change in the health care, most health care places won't bill your insurance, you as a third party are responsible to do it. Its up to the patient to know what their coverage is are for their health plans before they go in and gets services rendered. And just a side note go back to Stanton and ask for an individual receipt for each pair of glasses and resubmit the claim to eyemed-- the customer service reps at EyeMed don't like to deal with third party Claims, so they will deny your claim just to make it easier for them. They are required to reimburse you for what your allowance is are under your plan. Best of luck.