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PPO Vision

Vision benefits are available to you if you receive care from a physician, Optometrist or Optician. Benefits will be available to you only if the care you receive is medically necessary and is rendered on or after your coverage date.

Covered Services:

  • Annual Exams
    • $20.00/exam
  • Single Vision Lenses
    • $20.00/pair
  • Bifocal Lenses
    • $30.00/pair
  • Trifocal Lenses
    • $40.00/pair
  • Lenticular Lenses
    • $50.00/pair
  • Contact Lenses
    • $30.00/pair
  • Frames
    • $14.00/frame

One covered service per calendar year. Additional benefits will be provided if a prescription change is required from previous lenses covered under the vision care program.

Some retailers provide instant discounts for their covered vision services. Check with our HR department for a listing.

Please refer to your employee benefits handbook for a more detailed description of benefits or check the
Blue Cross/Blue Shield web site.