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Anthem Blue View Vision offers complete, high quality vision care to XYZ Company employees. The

plan includes benefits for eye exams, frames, eyeglasses and contact lenses. In addition, members

receive discounts for Lasik surgery and additional frames and lenses.

Select “Find a Vision Provider” from the homepage and select the “Blue View Vision” option under the

Vision Providers column.

VISION PLANS

Network Providers Include:

JC Penneys, LensCrafters,

Sears, Pearle Vision,Target and more

Network

Out of Network Services

$10 Co-Pay

Reimbursed up to $48

Prescription Lenses

Single

$25 Co-Pay

Reimbursed up to $36

Bifocal

$25 Co-Pay

Reimbursed up to $54

Trifocal

$25 Co-Pay

Reimbursed up to $69

Progressive

$25 Co-Pay, then balance not to exceed

$65.

N/A

Up to $130 Allowance, 20% discount on

any balance

Reimbursed up to $64

Contact Lenses

(in lieu of glasses)

Once every calendar year

$130 Allowance, 15% discount on

additional charges (no discount for

disposable lenses)

Standard Lens Fitting

: Member pays up

to $55

Speciality Lens Fitting

: Member

receives10% discount

Reimbursed up to $105

Lens Fitting: Not Covered

Vision Coverage - Blue View Vision Anthem Blue Cross Blue Shield

Eye Exam

Once every calendar year

Once every calendar year

Frames

Once every two calendar years