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Blue View Vision

Anthem Blue View Vision
(866) 723-0515

 

 

Vision Plan Option

Vision coverage is offered by Anthem Blue View as a Preferred Provider Organization (PPO) plan.

Using the Plan

As with a traditional PPO, you may take advantage of the highest level of benefit by receiving services from in-network vision providers and doctors. You would be responsible for a copayment at the time of your service. However, if you receive services from an out-of-network doctor, you pay all expenses at the time of service and submit a claim for reimbursement up to the allowed amount.

PLAN HIGHLIGHTS

Anthem Blue View Vision

IN-NETWORK

OUT-OF-NETWORK

General Plan Information

When you obtain vision services from Anthem Blue View Vision providers, you will receive a higher level of coverage.

You may receive vision care from any doctor you wish. If you receive care from non-Anthem Blue View Vision doctors your coinsurance will be higher.

Examination Copay

$20

$45

Vision Examination

Once Every 12 Months

 Covered up to a comprehensive examination

 

Covered at 100%

Covered to a Maximum of $45

Frames

Once Every 12 Months

 

Covered at 100%
up to $120

Covered to a Maximum of $47

Lenses

-Plastic (CR-39) lenses in single vision, bifocal or trifocal (FT 25-35, Executive); oversize lenses, and all ranges of prescription

Once Every 12 Months

Single Vision (Pair)

Covered at 100%

$45

Bifocal Lenses (Pair)

Covered at 100%

$65

Trifocal Lenses (Pair)

Covered at 100%

$85

Progressive Lenses (Pair)

Covered at 100%

Not Covered

Contact Lenses

12 Months

Medically Necessary

Covered at 100%

Covered to a Maximum of $210

Cosmetic

Covered to a Maximum of $120 in lieu of Frames and Lenses

Covered to a Maximum of $105 in lieu of Frames and Lenses