Blue View Vision(sm)
Benefits
The benefits are clear
Taking care of your vision and wearing corrective lenses can be essential to your overall health and well being. Having regular eye exams can greatly reduce the risk of more serious, long term diseases and may even detect other health conditions. So be sure to take advantage of your Blue View Vision benefits including regular comprehensive eye exams and quick delivery of eye wear through our robust network of independent ophthalmologists and optometrists, as well as retail locations such as Lens Crafters ®, Target ® Optical, Sears ® Optical, JCPenney ® Optical and Pearle Vision ®. Many locations are open on evenings and weekends, so you can easily make an appointment that fits your schedule.
| Benefit | Member Benefit from Network Providers | Non-Network Reimbursement | limit | Frequency |
| Plan A $25 | Plan B $10 | |||
| Vision Examination | $25 copayment | $10 copayment | Up to $49 | Once every 12 months |
| Benefit | Member Benefit from Network Providers | Non-Network Reimbursement | limit | Frequency |
| Lenses | Once every 12 months | |||
| Single Lenses (pair) | $25 copayment | $10 copayment | Up to $35 | |
| Bifocal Lenses (pair) | Up to $45 | |||
| Trifocal Lenses (pair) | Up to $74 | |||
| Frames |
No copayment; Up to $130 retail value |
Up to $50 | Once every 24 months | |
|
Contact Lenses Elective convential or disposable contact lenses (In leau of frame and lens benefit) |
No copayment; Up to $350 retail value |
Up to $92 | ||
| Rates (biweekly) | Plan A $25 | Plan B $10 | |
| Employee Only | $5.71 | $7.20 | |
| Employee + One | $8.14 | $10.75 | |
| Employee + Family | $12.76 | $15.72 | |
| This is a brief review of benefits. See the Certificate for complete details; including frequency, exclusions, and limitations.) | |||
