The Anthem vision plan provides a benefit for an eye exam, eyeglass frames, and contact lenses or eyeglass lenses. If you visit an in-network provider, you pay a copay for your standard eye exam, and the plan pays a benefit of up to $250 for frames and contact lenses. There are additional copays and costs that could apply for a contact lens exam and eyeglass lens options. With the Anthem vision plan, you may visit any vision provider. However in order to maximize your vision benefit, we encourage you to visit an in-network provider.
Frequency limitations: The exam benefit, lenses benefit, and frames benefit are all once per 12 months.
Participating vision provider information can be found on the Resources page.
|Vision Summary of Benefits||In-Network|
|Transitions (children to age 19)||$0 copay|
|Standard Polycarbonate (children to age 19)||$0 copay|
|Factory Scratch Coating||$0 copay|
|Standard Progressive||$65 copay|
|UV Coating||$15 copay|
|Standard Polycarbonate (Adults)||$40 copay|
|Plan pays $250 less $20 copay, then 20% off balance Additional pairs: 40% discount|
|Conventional & Disposable||$250 allowance, then 15% off balance|
|Medically necessary||Covered in full|
The plan covers either contact lenses OR eyeglass lenses once per year.