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Vision plan options

With Capital Blue Cross Vision your employees get access to one of the largest eye care provider networks in the nation. From coverage for routine eye exams to discounts on prescription eye wear, our plans will save money and help keep your employees in good health.

Vision

In-network

Plan Benefit period1 Exam copay Eyeglass lens copay Frame allowance Contact lens allowance
Vision 12/102 12 months3 $10 $10 $120 $115
Vision 12/10 Plus 12 months $10 None $120 $115
Vision 24/10 Plus2 24 months $10 None $60 $75
Vision 12/0 12 months None None $60 $75
Vision 12/0 Optimal 12 months None None $200 $115
Vision Value Plan4 None $38 (PA)
  $50 (outside PA) 		Single Vision: $36
  Bifocal: $48
  Trifocal: $58
  Lenticular: $70		 Retail minus 30% Retail minus 20%

2024 plans

Vision

With Capital Blue Cross Vision your employees get access to one of the largest eye care provider networks in the nation. From coverage for routine eye exams to discounts on prescription eye wear, our plans will save money and help keep your employees in good health. 

In-network

Plan Benefit period1 Exam copay Eyeglass lens copay Frame allowance Contact lens allowance
Vision 12/102 12 months3 $10 $10 $120

$115
Vision 12/10 Plus 12 months $10 None $120

$115
Vision 24/10 Plus2 24 months $10 None $60

$75
Vision 12/0 12 months None None $60

$75
Vision 12/0 Optimal 12 months None None $200

$115
Vision Value Plan4 None $38 (PA)
 $50 (outside PA)		 Single vision: $36
 Bifocal: $48
 Trifocal: $58
 Lenticular: $70		 Retail minus 30%

Retail minus 20%

1Based on last date of service.

2Also offered on a voluntary basis.

324 month frequency for eyeglass frames.

4Costs associated with the services and materials listed are the responsibility of the member.

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