Voluntary Vision

Using an in-network provider will offer you the lowest service pricing. Frequency limits may apply to some services. Please refer to your plan document for specific details and note that out-of-network providers can balance bill you the difference between what they charge and the carrier’s reasonable and customary amount.

Visit anthem.com for a list of eye doctors near you.

		Blue View Vision Plan
Benefits		In-Network*		Out-of-Network Reimbursement
Exam		$15		Up to $35
Frames/Lenses		$150 allowance plus 20% off remaining balance		Up to $45
Lenses		$25		Single: Up to $25, Bifocal: Up to $40, Trifocal: Up to $55
Contact Lens Exam		Up to $55		N/A
Elective Contacts		$150 allowance		Up to $105
	Frequency of Services
Exams	Once every 12 Months		Once every 12 Months
Frames	Once every 24 Months		Once every 24 Months
Lenses or Contacts	Once every 12 Months		Once every 12 Months

* Using a provider that is out of the network shown above, you may experience higher costs.

2026 Rates

	Monthly	Employee Per Pay Cost (26 Pays)
Employee Only	$4.83	$2.23
Employee & Spouse Employee & Child	$8.45	$3.90
Employee & Children	$9.66	$4.46
Family	$14.06	$6.49