Page 9 - 2017 MegaPath Benefits Guide_FINALV2

BENEFITS

Vision Insurance

Anthem Blue Cross | BlueView 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
Plan Name PPO Plan

Network Network Non-Network
Vision Benefits
Copay
- Examination $10 Copay N/A
- Materials $25 Copay N/A

Examination (Every 12 Months) 100% $49 Reimbursement
Lenses (Every 12 Months)
- Single Vision 100% $35 Reimbursement
- Bifocal 100% $49 Reimbursement
- Trifocal 100% $74 Reimbursement

Frames (Every 12 Months) $130 Benefit $50 Reimbursement
Contact Lenses (Every 12 Months) In Lieu of Frames and Lenses
- Conventional / Disposable $130 Benefit $92 Reimbursement
- Medically Necessary 100% $250 Reimbursement
Laser Vision Correction Discounts Apply Not Covered

Anthem’s network includes access to more than 44,000 providers and provider locations including independent ophthalmologists
and optometrists, as well as LensCrafters®, Target Optical, Sears Optical, JCPenney Optical and most Pearle Vision retail stores.

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

Employee Assistance Program

Cigna Behavioral Health |Employee Assistance Program
The Employee Assistance Program (EAP) through Cigna 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. You and your household members can
receive up to 5 counseling sessions per person, per problem, per year.

Accessing the EAP
To access EAP benefits, go to www.cignabehavioral.com or you may call (877) 622-4327 to be
immediately connected to an EAP counselor.

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