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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 Blue View Vision 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 Exam Copay $49 Reimbursement and optometrists, as
Lenses (Every 12 Months) well as
- Single Vision No Charge after Materials Copay $35 Reimbursement LensCrafters®,
- Bifocal No Charge after Materials Copay $49 Reimbursement Target Optical, Sears
- Trifocal No Charge after Materials Copay $74 Reimbursement Optical, JCPenney
- Progressive $65 - $110 Copay Not Covered Optical and most
Pearle Vision retail
Frames (Every 24 Months) $130 Benefit $50 Reimbursement stores.
20% Discount Off Balance

Contact Lenses (Every 12 Months) In Lieu of Frames and Lenses
- Cosmetic / Elective $130 Benefit $92 Reimbursement
- Medically Necessary 100% $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 when prompted.

Anthem Blue Cross Online

Anthem’s Website Anthem’s Mobile App
Find a doctor, view claims status, take a health assessment to Keep your ID card on your phone that can be viewed, faxed or
receive your overall health score, compare cost and quality for sent via email right from your mobile device. Find a doctor,
common procedures, use the Health Record tool to keep your find an urgent care center or hospital fast with maps and
records available and up to date, refill prescriptions, and access driving directions, use the Health Record tool to keep your
SpecialOffers@Anthem product and service discounts. records available and up to date, compare cost and quality for
common procedures,

If you’re an Anthem member but haven’t registered, go to Anthem’s mobile app is free. To log in on your smartphone, you
www.anthem.com/ca from your computer and click Register must be registered on Anthem’s secure member site and have
Now. a user name and password.

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