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VISION

VISION

ANTEHM | VISION (BLUE VIEW VISION)

When you select vision coverage, you and your covered dependents may receive an eye examination once per calendar year. In addition, the plan covers all or part of the cost of either eyeglasses and frames once every other year. The plan also covers all or part of the cost of contacts once every year.

Find an eye doctor:

To search for eye care providers in your plans network, use the Find Care Feature in the Sydney Health app or at www.anthem.com.  You can also follow the provider search instructions located under Resources.  

Benefit Vision Plan 
  IN- NETWORK OUT OF NETWORK 
Exam $20 copay up to $42
Materials  
Copay $20 $20
Single Lenses Paid in full up to $40
Lined Bifocal Lenses Paid in full up to $60
Lined Trifocal Lenses Paid in full up to $80
Lenicular Lenses Paid in full up to $80
Frames $150 Allowance up to $45
Elective Contacts $150 Allowance up to $105
Service Frequency  
Exams 12 months
Lenses 12 months
Frames 24 months
DG3
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