Page 13 - 2019 CareHere Enrollment Guide
P. 13
CAREHERE
VISION Vision coverage
Vision benefits are available for all regular full-time employees and regular is provided
part-time employees actively working 20 hours or more per week. by BlueCross
BlueShield of
Vision Benefits Tennessee.
We partner with BlueCross BlueShield of Tennessee to offer you and your
eligible dependents vision insurance. Visit www.bcbst.com to find in-network
providers and access to a variety of online tools and programs.
Vision Benefits At-a-Glance
In-Network*
Exams (every 12 months) Covered 100% after $10 copayment
Lenses (every 12 months)
Single Covered 100% after $25 copay
Bifocal Covered 100% after $25 copay
Trifocal Covered 100% after $25 copay
Approved Frames (every 24 months)
$120 allowance
20% discount balance over allowance
Approved Contact Lenses (every 12 months) in lieu of glasses
Elective—Conventional $120 allowance
Lenses 15% discount balance over allowance
Elective—Disposable Lenses $120 allowance
Medically Necessary 100% covered
* For out-of-network coverage details, please refer to your plan summary or an
official plan document.
Vision Bi-Weekly Pre-Tax Contributions
(Full-Time and Part-Time Employees)
Vision Plan
Employee Only $2.76
Employee + Spouse $5.52
Employee + Child(ren) $5.80
Family $9.11
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VISION Vision coverage
Vision benefits are available for all regular full-time employees and regular is provided
part-time employees actively working 20 hours or more per week. by BlueCross
BlueShield of
Vision Benefits Tennessee.
We partner with BlueCross BlueShield of Tennessee to offer you and your
eligible dependents vision insurance. Visit www.bcbst.com to find in-network
providers and access to a variety of online tools and programs.
Vision Benefits At-a-Glance
In-Network*
Exams (every 12 months) Covered 100% after $10 copayment
Lenses (every 12 months)
Single Covered 100% after $25 copay
Bifocal Covered 100% after $25 copay
Trifocal Covered 100% after $25 copay
Approved Frames (every 24 months)
$120 allowance
20% discount balance over allowance
Approved Contact Lenses (every 12 months) in lieu of glasses
Elective—Conventional $120 allowance
Lenses 15% discount balance over allowance
Elective—Disposable Lenses $120 allowance
Medically Necessary 100% covered
* For out-of-network coverage details, please refer to your plan summary or an
official plan document.
Vision Bi-Weekly Pre-Tax Contributions
(Full-Time and Part-Time Employees)
Vision Plan
Employee Only $2.76
Employee + Spouse $5.52
Employee + Child(ren) $5.80
Family $9.11
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