Vision
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 calendar year. Either the eyeglass benefit or the contact benefit may be used in the same benefit period.
Participating vision provider information can be found on the Resources page.
| Vision Summary of Benefits | In-Network |
|---|---|
|
Eye Exam
|
|
| Standard | $20 copay |
|
Eyeglass Lenses
|
|
| Single | $20 copay |
| Bifocal | $20 copay |
| Trifocal | $20 copay |
| Lenticular | $20 copay |
|
Lens Options
|
|
| 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 |
|
Eyeglass Frames
|
Plan pays $250 less $20 copay, then 20% off balance Additional pairs: 40% discount |
|
Contact Lenses
|
|
| Conventional & Disposable | $250 allowance, then 15% off balance |
| Medically necessary | Covered in full |
Frequencies
- Exam: Once per calendar year
- Lenses: One pair per calendar year
- Frames: One pair per calendar year
The plan covers either contact lenses OR eyeglass lenses once per calendar year.
Employment Termination of Coverage
Your vision insurance coverage will conclude on the last day of the month in which your employment termination takes place.
Your vision coverage is a COBRA eligible benefit. Under COBRA regulations, you have the opportunity to extend your vision benefits for up to a maximum of 18 months from the date your coverage ends. This enables you to maintain access to the same vision benefits you enjoyed as an active Jim Ellis employee.
Following your employment's conclusion with Jim Ellis, you will receive a comprehensive COBRA continuation notice with details on how to continue your vision coverage through COBRA.
