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Anthem BlueCare Vision Benefits

PW_M008957
Anthem Blue Cross and Blue Shield plans offered through employers come with valuable benefits and discounts to help members take care of their eyes.  
It's easy to use these benefits and discounts. Here's how:  
Simply select a participating Davis Vision eye care professional and call for an appointment. If your provider prescribes corrective eyewear, or your prescription for glasses or contacts has changed, you can choose from a wide selection of frames, lens options and contact lenses to find the pair just right for you. When your new glasses or contacts are ready, you'll either pay the discounted price or use your benefits (depending on your specific plan) and be on your way.  
The Standard Plan features shown below come with group health plans. Employers can add any of the other options for even more value.  
 

Features and Benefits Standard Plan Designer 12/12 Designer 12/24

Annual routine eye exam
(per member per calendar year)

$15 copayment

$15 copayment

$15 copayment

Annual contact lens fitting
(per member per calendar year)

Not a covered service with the standard plan

No copayment required

No copayment required

Eyeglass frames, lenses and contacts

Discounts of up to 40%

Frames:
Each covered family member can receive one frame each calendar year from the Davis Vision Designer Frame Collection at no cost, or a $60 allowance toward any other frames.

Lenses:
Each covered family member can receive a set of eyeglass lenses each calendar year, and discounts on many lens options are included.

Contact lenses:
In lieu of eyeglasses, a $75 contact lens allowance per member per calendar year

Frames:
Each covered family member can receive one frame every two years from the Davis Vision Designer Frame Collection at no cost, or a $60 allowance toward any other frames.

Lenses:
Each covered family member can receive a set of eyeglass lenses each calendar year, and discounts on many lens options are included.

Contact lenses:
In lieu of eyeglasses, a $75 contact lens allowance per member per calendar year

Out of network benefits

$30 allowance toward the cost of an eye exam

$30 allowance toward the cost of an eye exam; $35 allowance toward the cost of a contact lens fitting. Fixed out-of-network allowance for eyeglass frames, lenses and contacts

$30 allowance toward the cost of an eye exam; $35 allowance toward the cost of a contact lens fitting. Fixed out-of-network allowance for eyeglass frames, lenses and contacts

Laser vision correction surgery

Up to a 25% discount when surgery is performed by a surgeon in the Laser Surgery Network

Up to a 25% discount when surgery is performed by a surgeon in the Laser Surgery Network

Up to a 25% discount when surgery is performed by a surgeon in the Laser Surgery Network

Mail order contact lenses

No cost membership in Lens 1-2-3®
1-800-LENS123

No cost membership in Lens 1-2-3®
1-800-LENS123

No cost membership in Lens 1-2-3®
1-800-LENS123

 

Exclusions and Limitations

Exclusions and Limitations

Features and Benefits Premier 12/12 Premier 12/24
Annual routine eye exam
(per member per calendar year) 
$15 copayment 
$15 copayment 
Annual contact lens fitting
(per member per calendar year) 
No copayment required 
No copayment required 
Eyeglass frames, lenses and contacts
Frames:
Each covered family member can receive one frame each calendar yeas from the Davis Vision Premier Frame Collection at no cost, or an $80 allowance toward any other frames. 
 
Lenses:
Each covered family member can receive a set of eyeglass lenses each calendar year, and discounts on many lens options are included. 
 
Contact lenses:
In lieu of eyeglasses, a $100 contact lens allowance per member per calendar year 
Frames:
Each covered family member can receive one frame every two years from the Davis Vision Premier Frame Collection at no cost, or an $80 allowance toward any other frames. 
 
Lenses:
Each covered family member can receive a set of eyeglass lenses each calendar year, and discounts on many lens options are included.  
 
Contact lenses:
In lieu of eyeglasses, a $100 contact lens allowance per member per calendar year 
Out of network benefits
$30 allowance toward the cost of an eye exam; $35 allowance toward the cost of a contact lens fitting. Fixed out-of-network allowance for eyeglass frames, lenses and contacts 
$30 allowance toward the cost of an eye exam; $35 allowance toward the cost of a contact lens fitting. Fixed out-of-network allowance for eyeglass frames, lenses and contacts 
Up to a 25% discount when surgery is performed by a surgeon in the Laser Surgery Network 
Up to a 25% discount when surgery is performed by a surgeon in the Laser Surgery Network 
Mail order contact lenses
No cost membership in Lens 1-2-3®
1-800-LENS123  
No cost membership in Lens 1-2-3®
1-800-LENS123 
 

Features and Benefits Premier Plus 12/12 Premier Plus 12/24
Annual routine eye exam
(per member per calendar year) 
$15 copayment 
$15 copayment 
Annual contact lens fitting
(per member per calendar year) 
No copayment required 
No copayment required 
Eyeglass frames, lenses and contacts
Frames:
Each covered family member can receive one frame each calendar year from the Davis Vision Premier Frame Collection at no cost, or a $120 allowance toward any other frames. 
 
Lenses:
Each covered family member can receive a set of eyeglass lenses each calendar year, and discounts on many lens options are included. 
 
Contact lenses:
In lieu of eyeglasses, a $110 contact lens allowance per member per calendar year 
Frames:
Each covered family member can receive one frame every two years from the Davis Vision Premier Frame Collection at no cost, or a $120 allowance toward any other frames. 
 
Lenses:
Each covered family member can receive a set of eyeglass lenses each calendar year, and discounts on many lens options are included. 
 
Contact lenses:
In lieu of eyeglasses, a $110 contact lens allowance per member per calendar year 
Out of network benefits
$30 allowance toward the cost of an eye exam; $35 allowance toward the cost of a contact lens fitting. Fixed out-of-network allowance for eyeglass frames, lenses and contacts 
$30 allowance toward the cost of an eye exam; $35 allowance toward the cost of a contact lens fitting. Fixed out-of-network allowance for eyeglass frames, lenses and contacts 
Up to a 25% discount when surgery is performed by a surgeon in the Laser Surgery Network 
Up to a 25% discount when surgery is performed by a surgeon in the Laser Surgery Network 
Mail order contact lenses
No cost membership in Lens 1-2-3®
1-800-LENS123 
No cost membership in Lens 1-2-3®
1-800-LENS123 
 
 
For More Information:
Discount Services

Premier Plan Discounts on Eyeglass Lens Options

Laser Vision Correction

BlueCare Disclaimer

Plan Exclusions
 
©2005-2014 copyright of Anthem Insurance Companies, Inc.

Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use