Vision
Healthy eyes and clear vision are an important part of your overall health and quality of life. You may enroll yourself and your eligible dependents or you may waive vision coverage. You do not have to be enrolled in medical coverage to elect vision coverage or cover the same dependents under medical and vision.
Although vision care services and supplies are covered in-network and out-of-network, your benefits are generally greater when you use in-network providers. Your costs are based on the family members you choose to cover.
BCBSTX/EyeMed Plan
Plan Information
Plan Name: BCBSTX/EyeMed Plan
Policy Number: VX324679
Effective Date: 01/01/2025
Provider Network: BCBSTX/EyeMed
In-Network Benefit Highlights
Deductible (Individual/Family)
$XX/$XX
Out-of-Pocket Max (Individual/Family)
$XX/$XX
Preventive Care
$XX
Primary Care Visit
$XX
Specialist Visit
$XX
Urgent Care
$XX
Emergency Room
$XX
Benefit Highlights
In-Network
Exams
$10
Single Vision Lenses
$0 C0pay
Bifocal Lenses
$0 Copay
Trifocal Lenses
$0 Copay
Frames
$0 copay, $200 allowance, 20% off balance over $200
Contacts (in lieu of glasses)
$0 copay, $200 allowance, 15% off balance over $200
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months
Out-of-Network Reimbursement
Exams
Up to $30 reimbursement
Single Vision Lenses
Up to $25 reimbursement
Bifocal Lenses
Up to $40 reimbursement
Trifocal Lenses
Up to $55 reimbursement
Frames
Up to $150 reimbursement
Contacts (in lieu of glasses)
Up to $160 reimbursement
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months