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Vision Insurance

Vision Plan Banner


If you are also covered under the City's Delta Dental program, you can receive up to a 35% discount off your vision costs just by showing your Delta Dental card and the Delta Vision card on the Delta Dental Vision Discount Program flyer.

Vision Reimbursement Form

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 member per plan year. 
     
  • 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 member per plan year. 
     
  •  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 – Reimbursement toward purchase of a pair of lenses and frames or contact lenses per member every 2 plan years.
     
  •  Maximum Reimbursement Allowance:
    $100 maximum reimbursement per member every two plan years.

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