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