Page 10 - Cylance EE Guide 01-17 National

BENEFITS

Vision Insurance

Anthem Blue Cross | PPO Vision Plan
The Anthem Blue Cross vision plan provides professional vision care and high quality lenses and frames through a broad network of
optical specialists. You will receive richer benefits if you utilize a network provider. If you utilize a non‐network provider, you will be
responsible to pay all charges at the time of your appointment and will be required to file an itemized claim with Anthem Blue Cross.

Anthem Blue Cross Note
Plan Name PPO Plan Anthem’s network

Network Name Blue View Vision Non-Network includes access to
more than 44,000
Vision Benefits providers and
provider locations
Copay
- Examination $10 Copay N/A including
- Materials $25 Copay N/A independent
ophthalmologists
Examination (Every 12 Months) No Charge after Copay $49 Reimbursement and optometrists, as
Lenses (Every 12 Months) well as
- Single Vision No Charge after Copay $35 Reimbursement LensCrafters®,
- Bifocal No Charge after Copay $49 Reimbursement Target Optical, Sears
- Trifocal No Charge after Copay $74 Reimbursement Optical, JCPenney
Optical and most
Frames (Every 24 Months) $130 Benefit, $50 Reimbursement Pearle Vision retail
then 20% Discount stores.
Contact Lenses (Every 12 Months) In Lieu of Frames and Lenses

- Cosmetic / Elective $130 Benefit, $92 Reimbursement
then 15% Discount
- Medically Necessary No Charge after Copay $250 Reimbursement
Laser Vision Correction Discounts Apply Not Covered

Finding a Vision Provider
Go to www.anthem.com/ca or call (866) 723-0515. Refer to the “Blue View Vision” network.

Employee Assistance Program

Anthem Blue Cross | Resource Advisor
The Resource Advisor provides you and your household members with free, confidential assistance to help with personal or
professional problems that may interfere with work or family responsibilities and obligations. Services are available 24 hours a day,
7 days a week via a toll-free nationwide number. Online help is also available by visiting the Resource Advisor website. Online,
you’ll find tips on handling difficult life events, depression screening tools, parenting information, financial tools to help you plan
for major purchases or life events, identity monitoring services, state-specific online wills, and a legal library.

Accessing the Resource Advisor
Go to www.resourceadvisorca.anthem.com (Program Name = ResourceAdvisor) or call (888) 209-7840 to
speak to a counselor.

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