Page 15 - 2021 Master's University Benefit Brochure_Final3
P. 15
Anthem Vision Plan
In- Network Out-of-Network
Exam
(once every 12 months) Covered in full after $25 Up to $49
copay
Standard Plastic Lenses (once every 12
months) Covered in full Up to $35 / $49 / $74
Single, Bifocal, Trifocal
Frames
In lieu of contact lenses $130 allowance then 20% Up to $50
(once every 12 months) off remaining balance
Contact Lenses – elective disposable
In lieu of frames $130 allowance
Up to $92
(once every 12 months )
Contact Lenses – elective conventional
In lieu of frames $130 allowance + 15% off
Up to $92
(once every 12 months ) remaining balance
Contact Lenses – non-elective
In lieu of frames Covered in full
Up to $250
(once every 12 months )
Blue View VisionSM has one of the nation’s largest vision networks. You can access independent
optometrists, ophthalmologists and opticians, Glasses.com, ContactsDirect,1-800 CONTACTS, and convenient
national optical retailer stores including LensCrafters®, Pearle Vision® and Target Optical.®
To find an in-network provider near you, use the Find a Doctor tool on anthem.com/ca
ADDITIONAL SAVINGS AVAILABLE THROUGH ANTHEM’S SPECIAL OFFERS PROGRAM *
Savings on items like additional eyewear after your benefits have been used, non-prescription sunglasses,
hearing aids and even LASIK laser vision correction surgery are available through a variety of vendors. Just log
in at anthem.com/ca, select discounts, then Vision, Hearing & Dental.
* Discounts cannot be used in conjunction with your covered benefits
The Master’s University & Seminary Page 14
2021 Employee Benefits Brochure
