Page 9 - 2021 Vocon Benefits Guide

Vision

Your vision plan is provided through Anthem Blue View Vision. It
provides coverage for routine eye exams and pays for all or a
portion of the cost of glasses or contact lenses. You can see in-
or out-of-network providers; however, you always save money if
you see in-network providers.

You may choose from many private practice doctors, local
optical stores, and national retail stores including LensCrafters,
Target Optical, JCPenney Optical and most Pearle Vision
locations. You may also use your in-network benefits to order
eyewear online at Glasses.com and ContactsDirect.com.

To locate a participating network eye care doctor or location, log
in at anthem.com, or from the home page menu under Care,
select “Find a Doctor.”

Benefit In-Network Out-of-Network
Up to $42
Routine Eye Exam $20 copay
allowance
$130 allowance, then Up to $45
Eyeglass Frames
20% discount allowance
Eyeglass Lenses
• Single vision lenses $20 copay Up to $40
• Bifocal lenses $20 copay Up to $60
• Trifocal lenses $20 copay Up to $80

Frequencies
• Exam & Lenses Every 12 months
• Frames Every 24 months

Contact Lenses
• Elective disposable Up to $130 Up to $105
• Non-elective (medically Covered in full Up to $210
necessary)

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