ANTHEM HMO PLANS:
- Eye Exam – Only covered with an in-network provider; one exam per member per calendar year. Covered at 100%.
- Lenses/Contacts – Reimbursement toward purchase of a pair of lenses and frames or contact lenses per plan year. (Reimbursement is per calendar year for the Legacy plan - PDSS and Water Unions).
- Maximum Reimbursement Allowance:
| Single Vision Lenses |
$20 |
| Bifocal Lenses |
$30 |
| Trifocal Lenses |
$40 |
| Lenticular Lenses |
$75 |
| Contact Lenses |
$75 |
| Frames |
$30 |
ANTHEM POS PLANS:
- Eye Exam – Only covered with an in-network provider; one exam per member per calendar year. Covered at 100%.
- Lenses/Contacts – Reimbursement toward purchase of a pair of lenses and frames or contact lenses per plan year. (reimbursement is per calendar year for the Legacy plan - PDSS and Water Unions).
- Maximum Reimbursement Allowance:
| Single Vision Lenses |
$20 |
| Bifocal Lenses |
$30 |
| Trifocal Lenses |
$40 |
| Lenticular Lenses |
$75 |
| Contact Lenses |
$75 |
| Frames |
$100 |
ANTHEM LUMENOS HIGH DEDUCTIBLE HEALTH PLANS:
- Eye Exam – Only covered with an in-network provider; one exam per member per calendar year. Covered at 100% and it is not subject to the deductible.
- Lenses/Contacts – There is no vision hardware reimbursement available on the Lumenos High Deductible Health Plan.