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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 – Vision Blue.

Vision Blue
Plan Provision In-Network Out-of-Network

Exam $10 copay Up to $35
Frames $0 copay up to $120 allowance Up to $60

Lenses
 Single vision lenses $25 copay Up to $30
 Bifocal lenses $25 copay Up to $45
 Trifocal lenses $25 copay Up to $60
Contact Lenses
 Conventional $0 copay up to $120 allowance Up to $96
 Disposable $0 copay up to $120 allowance Up to $96
 Medically necessary Covered at 100% Up to $200

Frequency
 Exam Every 12 Months
 Lenses Every 12 Months
 Frames Every 24 Months
 Contact lenses Every 12 Months

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