Vision Plan at a Glance
Here’s a look at what’s covered and what you pay. You can see any provider, but you will save money when you use BCBSTX/EyeMed in-network providers. Find an in-network provider by calling 855-556-8796 or visit eyemedvisioncare.com/bcbxtxvis. You can also print a vision ID card on the site.
Vision Plan | ||
In-network | Out-of-network1 | |
You pay | ||
Exam with dilation (Once per calendar year) | $10 copay | All amounts over $40 |
Frames (Once per calendar year) | $0, then all amounts over $2002 | All amounts over $45 |
Lenses3 (Once per calendar year) | ||
Single vision | $20 copay | All amounts over $40 |
Bifocal | $20 copay | All amounts over $60 |
Trifocal | $20 copay | All amounts over $80 |
Lenticular | $20 copay | All amounts over $80 |
Contact Lenses (in lieu of eyeglasses; once per calendar year) | ||
Standard contact lens fit and follow-up | You get a 15% discount | No discount |
Visually required contacts | $0 (must get prior approval) | All amounts over $210 |
Conventional or disposable contacts | $0, then all amounts over $1504 | All amounts over $150 |
- When you use an out-of-network provider, you must pay the cost up-front and then file a claim to be reimbursed up to the out-of-network allowance.
- You get a 20% discount on all amounts over the plan allowance.
- The plan will pay 100% for polycarbonate lenses, scratch-resistant coating, UV coating and tinting. There is an additional charge for some lens options such as some anti-reflective coatings, some progressive lenses, polarized lenses and photochromic lenses.
- You get a 15% discount on all amounts over the plan allowance.
Paycheck Costs
Here are your premium costs for the Vision Plan.
Vision Plan | ||
Bi-weekly | Monthly | |
Employee only | $3.76 | $8.15 |
Employee and spouse | $7.52 | $16.30 |
Employee and children | $7.90 | $17.12 |
Employee and family | $11.00 | $23.84 |