VISION COVERAGE 2020 BLUE CROSS AND BLUE SHIELD - Taking care of your eyes is essential to good health - FEPBlue.org

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VISION COVERAGE 2020 BLUE CROSS AND BLUE SHIELD - Taking care of your eyes is essential to good health - FEPBlue.org
2020 BLUE CROSS
AND BLUE SHIELD
VISION
COVERAGE
Taking care of your eyes is
essential to good health.

fepbluevision.com • 1-888-550-BLUE (2583)
VISION COVERAGE 2020 BLUE CROSS AND BLUE SHIELD - Taking care of your eyes is essential to good health - FEPBlue.org
Did you                             People with eye conditions are more likely to suffer more serious health
                                         conditions, such as diabetes or autoimmune disease. Taking steps to protect
       know                              you and your family’s eyes is important today.

Blue Cross and Blue Shield is a trusted provider of health insurance for federal employees,
retirees and their families. Our supplemental vision plan, FEP BlueVision®, offers the coverage
you need to keep eyes healthy for years to come.

HERE’S WHY MORE FEDERAL EMPLOYEES CHOOSE BLUE:
             No copays for comprehensive eye exams, frames and lenses

             Our insurance is accepted by over 91,000 providers, including
             Visionworks, LensCrafters, Costco, Walmart, Sam’s Club and more

             An extensive fully covered frame collection at participating providers

             A generous frame allowance at independent and national providers

             Through our exclusive partnership with Visionworks, High Option
             members receive up to a $200 frame allowance on new frames

2020 Summary of Benefits
      Benefits                                                       High Option                                      Standard Option
       Eye Exam
                                                                                    No copay, covered every calendar year.
       (Once per year)
       Spectacle Lenses
                                                                                    No copay, covered every calendar year.
       (One pair per year)
                                              We cover Transitions, Varilux Progressives and Crizal Anti-Reflective Coating lenses at
       Lens Treatments
                                             low or no out-of-pocket cost. See additional covered lens options in the 2020 brochure.
                                              No copay, covered every calendar year.
                                                                                                          No copay, covered every 2
                                              Frame Allowance: $150 toward any
                                                                                                          calendar years.
                                              provider supplied frame, plus 20% off
       Frames                                                                                             Frame Allowance: $130 toward any
                                              charges over $150.2
                                                                                                          provider-supplied frame, plus 20% off
                                              Additional $50 frame allowance when you
                                                                                                          charges over $130.2
                                              purchase frames from Visionworks.
       FEP BlueVision
                                               Covered-in-full and includes any frame from the FEP BlueVision Exclusive Collection.1
       Exclusive Collection1
                                              Up to $150 per calendar year toward
                                              contact lenses plus 15% off charges over                    Up to $130 per calendar year toward
       Contact Lenses                         $150.2 Evaluation, fitting and follow-up fees               contact lenses, evaluation, fitting and
       (in lieu of eyeglasses)                fully covered for non-specialty lenses and                  follow-up fees, plus 15% off charges over
                                              covered up to $60 for specialty contact                     $130.2
                                              lenses.
Collection is available at participating independent provider offices. Collection is subject to change.
1

2
    Additional discounts are not applicable at Costco, LensCrafters, Sam’s Club or Walmart locations.
VISION COVERAGE 2020 BLUE CROSS AND BLUE SHIELD - Taking care of your eyes is essential to good health - FEPBlue.org
Savings you can clearly see

               Average savings with High Option:                      Average savings with Standard Option:

                                    $865                                            $769
                                      Average Retail Cost        High Option             Standard Option

              Eye Examination                $103                    $0                        $0

                        Frames               $150                    $0                        $16

   1-Year Breakage Warranty                  $30                     $0                        $0

                Bifocal Lenses               $125                    $0                        $0

        Polycarbonate Lenses                 $40                     $0                        $0

           Ultraviolet Coating               $20                     $0                        $0
 Plastic Photochromic Lenses
(i.e., Transitions ® SignatureTM)            $120                    $0                        $65

     Premium Anti-Reflective
                    Coating                  $125                    $33                       $48

        Premium Progressive
                    Lenses                   $275                    $90                       $90

     TOTAL OUT-OF-POCKET                    $988                    $123                      $219

                       MORE GREAT DISCOUNTS FOR FEP BLUEVISION MEMBERS
                       Vision Correction Surgery: Save up to 50% on traditional LASIK surgery at
                       QualSight LASIK.

                       Additional eyewear savings: 20% discount on additional frames, spectacle lenses
                       or daily wear contacts and 10% discount when you buy additional disposable contacts.

                       Blue365®: Get savings on things that go beyond vision coverage, such as gym
                       memberships and nutrition programs.

                       Hearing health: Save up to 40% on discreet hearing aids with the latest technology.

                       Learn more at fepbluevision.com.
GET THE MOST OUT OF YOUR VISION BENEFIT
On our website, fepbluevision.com, you can access
a wealth of resources including, but not limited to:

           Virtual Frame Try-On

           Vision Provider Finder

           Vision health and wellness information

           Coverage and benefit information

2020 RATES
                                                             High Option                                                                Standard Option

                                         BI-WEEKLY                                MONTHLY                                BI-WEEKLY                                   MONTHLY

   Self Only                                   $5.49                                  $11.90                                   $3.50                                  $7.58

   Self + One                                 $10.97                                  $23.77                                   $6.99                                  $15.15

   Self & Family                              $16.46                                  $35.66                                  $10.49                                  $22.73

                             Learn more about FEP BlueVision
                             Online: fepbluevision.com                                                                       Enroll in coverage

                             Phone: 1-888-550-2583                                                                           Online: BENEFEDS.com
                             (8 a.m. to 11 p.m. EST, M-F;                                                                    Phone: 1-877-888-3337
                             9 a.m. to 4 p.m. EST, Sat.;                                                                     (Available 24/7)
                             12 p.m. to 4 p.m. EST, Sun.)

                       Open Season is November 11 through midnight December 9, 2019, Eastern time.

Note: This is a summary of the many features and benefits of FEP BlueVision®. For a complete description, please refer to your benefit brochure.
This is a summary of the many features and benefits of FEP BlueVision. For a complete description, please view the benefit brochure.
The Blue Cross® and Blue Shield® words and symbols and FEP BlueVision® are all trademarks owned by Blue Cross Blue Shield Association.
FEP BlueVision complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Para obtener asistencia en español, llame al servicio de atención al cliente al número que aparece en su tarjeta de identificación.
                                                                                                                                                                       BLUVISEDU2020
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