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Vision plan

The vision plan provides coverage for routine eye exams and pays for all or a portion of the cost of glasses or contact
lenses. You can choose any provider; however, you always save money if you see in-network providers. We offer a vision
plan through BlueCross BlueShield of Tennessee.

BCBST Insight Vision Plan
Plan Provisions In-Network Out-of-Network

Exam $10 copay $35 reimbursement
Frames $135 allowance, 20% off overage Up to $67.50
Lenses
● Single vision lenses $10 copay $30 reimbursement
● Bifocal lenses $10 copay $45 reimbursement
● Trifocal lenses $10 copay $65 reimbursement
Contact Lenses
● Elective $135 allowance $108 reimbursement
● Medically necessary Covered at 100% $200 reimbursement
Frequency
● Exam 12 Months 12 Months
● Lenses 12 Months 12 Months
● Frames 24 Months 24 Months
● Contact lenses 12 Months 12 Months

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