Q) I have Nevada Medicaid and Nevada Check Up. I chose Silver Summit as my provider, largely because they CLAIM they will pay for eye exams and one set of glasses per year. I desperately need new glasses – I haven’t had a new pair of glasses in TEN YEARS. I had the exam and it was covered – but the associated eyeglass maker refused the insurance. I finally found out it is actually Envolve eye insurance. I cannot contact Envolve on the phone and the website simply lists all the optometrists in Las Vegas. I have looked online. I have made numerous phone calls. Either no eyeglasses maker in Nevada or the United States ACTUALLY accept Envolve to pay for eyeglasses (in which case, the Silver Summit information given is a fraud, as is the information on the Envolve website) or I can only go to each and every eyeglasses provider one by one in the entire city asking for glasses until MAYBE someone will say yes. As you may have guessed, I am not rich and I can’t go to every eyeglass maker in this city one by one. Does ANYONE know of ANYONE who REALLY takes this insurance, or is this all a fraud and a lie? If so, perhaps the State of Nevada should investigate this company that claims to provide services it does not provide.
A) I’m sorry to hear about the difficulties you are facing in getting your glasses covered by your insurance. I cannot make phone calls or send emails on your behalf, but I can provide some guidance that may be helpful.
It’s possible that there may be some confusion regarding your insurance coverage or that the information provided by Silver Summit may be outdated or incorrect. I recommend contacting the Nevada Medicaid agency directly to inquire about your coverage and find out if there are any alternative options for obtaining the glasses you need.
You can contact the Nevada Medicaid agency by phone at (800) 992-0900 or by visiting their website at https://www.nevadahealthlink.com/medicaid/. They should be able to assist you in understanding your benefits, finding a provider that accepts your insurance, and resolving any issues or concerns you may have.
Additionally, you may want to reach out to Envolve directly to inquire about their eyeglass coverage and find a provider that accepts their insurance. Their website lists a customer service phone number, which you may try calling to speak with a representative. They may also have a provider directory or other resources available to help you find a provider that accepts their insurance.
You should report this to your local medicaid office and ask for assistance in locating providers.
I hope this information is helpful, and I wish you the best in resolving this issue.