The vision plan is offered through Anthem's Vision Partner, EyeMed, and gives you benefits for eye exams, eyeglasses and contacts. Anthem has negotiated discounted rates for the Anthem Blue View Vision Insight Plan. Employees pay 100% of premiums through pre-tax payroll deductions. You can elect vision coverage even if you waive health plan coverage.
The vision plan offers an extensive network of optometrists and vision care specialists. You’ll save money by visiting in-network providers. To find a network provider near you, visit anthem.com. You don’t have to sign in.
- Simply select “providers,” then select “Find a Doctor.”
- Search as a Guest by Selecting a Plan or Network or enter your information including the “Blue View Vision Insight” as the plan/network.
Vision ID Card
If you enroll in the vision plan, you can expect to receive a new ID card in the mail. You will only receive one Anthem ID card, no matter if you are enrolled in both the vision and health plans or just one. Your dependents will receive their own separate ID cards with their name on it, but the cards will have the same ID number as yours.
| IN-NETWORK | OUT-OF-NETWORK | FREQUENCY | |
| Routine Eye Exam | |||
| A comprehensive eye examination | $10 copay | Up to $45 reimbursement | Once every calendar year |
| Eyeglass Frames | |||
| One pair of eyeglass frames | $150 allowance, then 20% off any remaining balance | Up to $80 reimbursement | Once every calendar year |
Eyeglass Lenses (instead of contact lenses)
One pair of standard plastic prescription lenses | |||
| Single vision lenses | $10 copay | Up to $30 reimbursement | Once every calendar year |
| Bifocal lenses | Up to $50 reimbursement | ||
| Trifocal lenses | Up to $65 reimbursement | ||
| Lenticular lenses | Up to $125 reimbursement | ||
Eyeglass Lens Enhancements
When obtaining covered eyewear from a Blue View Vision provider, you may choose to add any of the following lens enhancements at no extra cost. | |||
| Transitions Lenses (for a child under age 19) | $0 copay | No allowance when obtained out-of-network | Same as covered eyeglass lenses |
| Standard polycarbonate (for a child under age 19) | |||
| Factory scratch coating | |||
| Contact Lenses (instead of eyeglass lenses) You have a declining balance on your contact lenses | |||
Elective conventional (non-disposable)
OR | $150 allowance, then 15% off any remaining balance | Up to $105 reimbursement | Once every year |
Elective disposable
OR | $150 allowance (no additional discount) | ||
| Non-elective (medically necessary) | Covered in full | Up to $210 reimbursement | |
| LOW VISION RIDER | |||
| Low Vision Benefits Maximum Allowance | $1,000 (excluding coinsurance) | Once every two calendar years | |
| Supplementary Testing Examination | Covered in full | Up to $125 reimbursement | |
| Supplemental Care Aids | 25% Coinsurance | Up to 75% of cost | |
Preventive vision exams are covered at 100 percent and the deductible will not apply if you use an Anthem in-network medical provider. Provide your Anthem Blue Cross and Blue Shield Plan ID card for the participating vision provider to be able to submit a preventive services medical claim to Anthem Blue Cross and Blue Shield.
This is a primary vision care benefit intended to cover only routine eye examinations and corrective eyewear. The Anthem Blue View Vision Insight Plan is for routine eye care only. If you need medical treatment for your eyes, visit a participating eye care doctor from your medical network. Benefits are payable only for expenses incurred while the group and member’s coverage is in force. This information is intended to be a brief outline of coverage. All terms and conditions of coverage, including benefits and exclusions, are contained in the member’s policy, which shall control in the event of a conflict with this overview. A Certificate of Coverage is available upon request, simply begin a chat with ERIN — our Employee Resource and Information Network.
| OPTIONAL SAVINGS AVAILABLE FROM BLUE VIEW VISION IN-NETWORK PROVIDERS ONLY | In-network Member Cost (after any applicable copay) | |
| Retinal Imaging - at member’s option can be performed at time of eye exam | Not more than $39 | |
Eyeglass lens upgrades
When obtaining eyewear from a Blue View Vision provider, you may choose to upgrade your new eyeglass lenses at a discounted cost. Eyeglass lens copayment applies. | Transitions lenses (Adults) | $75 |
| Standard Polycarbonate (Adults) | $40 | |
| Tint (Solid and Gradient) | $15 | |
| UV Coating | $0 | |
| Progressive Lenses1 | ||
| Standard | $65 | |
| Premium Tier 1 | $85 | |
| Premium Tier 2 | $95 | |
| Premium Tier 3 | $110 | |
| Anti-Reflective Coating2 | ||
| Standard | $45 | |
| Premium Tier 1 | $57 | |
| Premium Tier 2 | $68 | |
| Other Add-ons | 20% off retail price | |
Additional Pairs of Eyeglasses
Anytime from any Blue View Vision network provider | Complete pair | 40% off retail price |
| Eyewear Accessories | Eyeglass materials purchased separately | 20% off retail price |
| Items such as non-prescription sunglasses, lens cleaning supplies, contact lens solutions, eyeglass cases, etc. | 20% off retail price | |
Contact lens fit and follow-up
A contact lens fitting and up to two follow-up visits are available to you once a comprehensive eye exam has been completed. | Standard contact lens fitting3 | Up to $40 |
| Premium contact lens fitting4 | 19% off retail price | |
| Conventional Contact Lenses | Discount applies to materials only | 15% off retail price |
1 Please ask your provider for his/her recommendation as well as the available progressive brands by tier.
2 Please ask your provider for his/her recommendation as well as the available coating brands by tier.
3 Standard fitting includes spherical clear lenses for conventional wear and planned replacement. Examples include but are not limited to disposable and frequent replacement.
4 Premium fitting includes all lens designs, materials and specialty fittings other than standard contact lenses. Examples include but are not limited to toric and multifocal
Discounts are subject to change without notice. Discounts are not "covered benefits" under your vision plan and will not be listed in your certificate of coverage. Discounts will be offered from in-network providers except where state law prevents discounting of products and services that are not covered benefits under the plan. Discounts on frames will not apply if the manufacturer has imposed a no discount policy on sales at retail and independent provider locations and even LASIK laser vision correction surgery are available through a variety of vendors. Just log in at anthem.com, select discounts, then Vision, Hearing & Dental.
* Discounts cannot be used in conjunction with your covered benefits.
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