Page 14 - Premier EE Guide 12-17 - CA Final

BENEFITS

VISION INSURANCE

Blue View Vision through Anthem Blue Cross | PPO Vision Plan
The Blue View 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 Blue View Vision.

Blue View Vision Note
Plan Name PPO Blue View Vision’s

Network Network Non-Network network includes
access to more than
Vision Benefits 44,000 providers
and provider
Copay
- Examination $25 Copay N/A locations including
- Materials N/A N/A independent
ophthalmologists
Examination (Every 12 Months) No Charge $49 Reimbursement and optometrists, as
well as
Lenses (Every 12 Months) LensCrafters®,
- Single Vision No Charge $35 Reimbursement Target Optical, Sears
- Bifocal No Charge $49 Reimbursement
Optical, JCPenney
- Trifocal No Charge $74 Reimbursement
Optical and most
Frames (Every 24 Months) $130 Allowance, 20% $50 Reimbursement Pearle Vision retail
stores.
Contact Lenses (Every 12 Months) In Lieu of Frames and Lenses
- Cosmetic / Elective $130 Allowance, 20% $92 Reimbursement
- Medically Necessary No Charge $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.

EMPLOYEE ASSISTANCE PROGRAM

Anthem Blue Cross| Resource Advisor
The Resource Advisor Employee Assistance Program (EAP) through Anthem Blue Cross 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 for each concern, face-to-face or as an online session using
Resource Advisor.

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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