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BENEFITS

Vision Insurance

Anthem BlueView | PPO
The Anthem 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.

Anthem BlueView Note
Plan Name PPO Anthem’s network
includes access to
Network Network Non-Network
more than 44,000
Vision Benefits providers and
provider locations
Copay (You Pay) including
- Examination $15 Copay N/A independent
- Materials N/A N/A
ophthalmologists
and optometrists, as
Examination (Every 12 Months) 100% $49 Reimbursement
well as
Lenses (Every 12 Months) (Plan Pays) LensCrafters®,
- Single Vision 100% $35 Reimbursement Target Optical, Sears
- Bifocal 100% $49 Reimbursement Optical, JCPenney
- Trifocal 100% $74 Reimbursement Optical and most
Pearle Vision retail
Frames (Every 24 Months) $130 Allowance $50 Reimbursement stores.
(Plan Pays)

Contact Lenses (Every 12 Months) In Lieu of Frames and Lenses
(You Pay)
- Cosmetic / Elective $130 Allowance $92 Reimbursement
- Standard Fitting 100% Not Covered

Laser Vision Correction Discounts Apply Not Covered

Finding a Vision Provider
Go to www.anthem.com/ca or call 866-723-0515 .

Employee Assistance Program

Cigna | 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.

Accessing the EAP
Go to www.cignabehavioral.com or call (800) 538-3543 to be immediately connected to an EAP counselor.

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