Page 8 - NickCo Mgmt Benefits Flipbook

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.

Associate Assistance Program

Anthem Blue Cross | Resource Advisor
The Associate Assistance Program (EAP) 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 3 counseling
sessions if you need it.

Accessing the EAP

To access EAP benefits, go to www.resourceadvisorca.anthem.com (Program Name: ResourceAdvisor) or you
may call (888) 209-7840 to be immediately connected to an EAP counselor.

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