Anthem Blue Vision
This Summary Plan Description outlines the vision benefits available to you through the Anthem Blue Vision Exam Plus Discount plan. This is a summary of your vision benefit. Please review your benefit certificate for plan details, eligibility definitions, limitations and exclusions.
Anthem’s Provider Network: For Anthem Vision provider locations, you may access the provider directory on the anthem.com home page. You can also contact Anthem Blue Vision customer service by calling the number listed on your ID card or (800) 828.3677 in Indiana or (800) 367.5897 in Kentucky. Schedule and appointment with you Anthem Vision provider; identify yourself as an Anthem member for fast, paperless determination and confirmation of benefits. Anthem Vision providers must be used to obtain benefits and discounts.
Savings: Through the Anthem Blue Vision Exam Plus Discount plan, Anthem Vision providers agree to a pricing that is listed below retail. Members are able to achieve savings on purchases of frames, lenses and contact lenses.
Co-payment(s): Co-payment amounts are applicable to Network provider examinations.
COVERED BENEFITS |
MEMBER BENEFIT FROM ANTHEM VISION NETWORK PROVIDER |
NON-NETWORK REIMBURSEMENT* |
Vision Examination Each member is entitled to a vision examination by an Anthem Vision provider. This vision examination does not cover a separate contact lens professional fitting fee. Availability: Once every 12 months* |
$5 co-payment |
Not covered |
Materials Prescription lens and frames |
Available at discount |
Not covered |
Contact Lenses |
Available at discount |
Not covered |
*Benefits are available from the last date of service.
