Page 12 - Future Steps
P. 12
2017 Benefits Enrollment
Vision
National retailers include but are
not limited to the following.
LensCrafters A comprehensive vision plan is offered through Anthem Blue Cross. You
have the lexibility to choose network or non-network providers however
Sears Optical
you will pay less out-of-pocket costs when visiting network providers.
Target Optical
VER pays 100% of the premiums for those who enroll in the vision plan.
JCPenney
Anthem Blue Cross
For a complete listing of
participating providers log Blue View Vision Network Non-Network
onto the Anthem website at Exam
www.anthem.com/ca and $10 copay Up to $49
search the Blue View Vision Lenses
network. Single $10 copay Up to $35
Bifocal $10 copay Up to $49
Trifocal $10 copay Up to $74
Frames
$130 retail allowance; no Up to $50
copay
Contacts
Elective $130 retail allowance Up to $92
Medically Necessary Covered in full Up to $250
Contact Lens Fit and Follow-Up
Standard Up to $55 Not covered
Premium 10% off retail Not covered
Frequency
Exam 12 months
Lenses 12 months
Contacts (in lieu of glasses) 12 months
Frames 24 months
12
Vision
National retailers include but are
not limited to the following.
LensCrafters A comprehensive vision plan is offered through Anthem Blue Cross. You
have the lexibility to choose network or non-network providers however
Sears Optical
you will pay less out-of-pocket costs when visiting network providers.
Target Optical
VER pays 100% of the premiums for those who enroll in the vision plan.
JCPenney
Anthem Blue Cross
For a complete listing of
participating providers log Blue View Vision Network Non-Network
onto the Anthem website at Exam
www.anthem.com/ca and $10 copay Up to $49
search the Blue View Vision Lenses
network. Single $10 copay Up to $35
Bifocal $10 copay Up to $49
Trifocal $10 copay Up to $74
Frames
$130 retail allowance; no Up to $50
copay
Contacts
Elective $130 retail allowance Up to $92
Medically Necessary Covered in full Up to $250
Contact Lens Fit and Follow-Up
Standard Up to $55 Not covered
Premium 10% off retail Not covered
Frequency
Exam 12 months
Lenses 12 months
Contacts (in lieu of glasses) 12 months
Frames 24 months
12
