VISION

Anthem Blue View Vision

Eye doctors can detect eye diseases like macular degeneration and glaucoma early on. And they’re often the first to
find other health problems, such as high blood pressure, high cholesterol and diabetes, through regular eye exams.
That’s why we make getting eye care easy and affordable.

Blue View Vision benefits
Plenty of choices with Blue View Vision, you can get your eye care and eyewear just about anywhere:

More doctors and locations. With over 36,000 eye doctors at more than 27,000 locations, you’re sure
to find an eye care professional that’s close to home or work. And you can even buy eyewear at a location
that’s different from your eye doctor.
More freedom. Choose the style that works best for you!
Incredible convenience Blue View Vision has one of the nation’s largest vision networks. You can access independent optometrists, ophthalmologists and opticians, 1-800 CONTACTS, and convenient national optical retailer stores including LensCrafters, Pearle Vision and Target Optical. Many of these stores have night-time and weekend hours, so you can go when it makes sense for you. To find an in-network provider near you, use the Find a Doctor tool on www.anthem.com.

Overview of Coverage

Benefit Item	In Network	Non Network
Routine Eye Exam Limited to one exam once every calendar year	$5 Copay	Reimbursed up to $150
Prescription Lenses: Includes factory scratch coating, polycarbonate lenses for children under 19 years old and Photochromic lenses for children under 19 years old when received from network providers. Limited to one set of lenses per member Once every calendar year.
Single Vision Lenses	$10 Copay	Reimbursed up to $500
Bifocal Lenses	$10 Copay	Reimbursed up to $500
Trifocal Lenses	$10 Copay	Reimbursed up to $500
Standard Progressive	$55 Copay	Reimbursed up to $500
Frame: Limited to one set of frames per member Once every other calendar year	$500 Allowance	Reimbursed up to $500
Prescription Contact Lenses (traditional or disposable) Contact lenses are in lieu of your eyeglass lens benefit. If you receive elective or non-elective contact lenses then no benefits will be available for eyeglass lenses until you satisfy the benefit frequency listed in this Schedule of Benefits.
Elective Contact Lenses: Availability once every calendar year	$500 Allowance	Reimbursed up to $500
Non-Elective Contact Lenses: Availability once every calendar year	Covered in full	Reimbursed up to $500