2018 fep bluevision · para obtener asistencia en español, llame al servicio de atención al...
TRANSCRIPT
Open Season is November 13 through midnight December 11, 2017 Eastern timeTo enroll visit BENEFEDS.com or call 1-877-888-FEDS (3337), TTY: 1-877-889-5680.
Questions? Contact FEP BlueVision Customer Service:Phone: 1-888-550-BLUE (2583), TTY: 1-800-523-2847; 8 a.m. to 8 p.m. Monday – Friday (Eastern time)
Learn more atwww.fepbluevision.com
• Virtual Frame Try On
• Locate an FEP BlueVision Provider
• Learn about theEye Exam
• Find out moreabout FEPBlueVision coverage
No hidden costs. No out-of-pocket guesswork. FEP BlueVision members enjoy comprehensive coverage at signifi cantly lower prices.
Enroll today and get started with a routine eye exam. Being proactive can help detect symptoms of systemic diseases such as diabetes, thyroid disease and neurological impairments.
ZERO COPAYComprehensive
Routine Eye Exam
FULLY-COVEREDFEP BlueVision
Collection Frames 1
GENEROUSFrame Allowance at
Independent Providers & Retail Locations
ENHANCEDFrame Allowance for
High Option Members at of up to $200
EF PT O Z
Sample Eyewear PurchaseAverage
Retail CostStandard
OptionHigh
Option
Eye Examination $103 $0 $0
FEP BlueVision® Collection Frames $160 $0 $0
Premium Progressive Lenses $247 $90 $90
Ultraviolet Coating $23 $0 $0
Premium Anti-Refl ective Coating $92 $48 $33
Plastic Photochromic Lenses(i.e. Transitions® SignatureTM) $110 $65 $0
Polycarbonate Lenses $66 $0 $0
1-Year Breakage Warranty $30 $0 $0
Total $831 $203 $123
SAVINGS $628 $708
MEMBER EDUCATION
Focus on what matters most.2018 FEP BLUEVISION®
OR
OVER 2,000FRAMES TO CHOOSE FROM
BLUVISEDU2018
1Collection is available at participating independent provider offices. Collection is subject to change.2Additional discounts are not applicable at Costco, LensCrafters, Sam’s Club or Walmart locations.3Industry standard for Hi-Index
Note: This is a summary of the many features and benefits of FEP BlueVision. For a complete description, please refer to your benefit brochure.
The FEP BlueVision Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Para obtener asistencia en español, llame al servicio de atención al cliente al número que aparece en su tarjeta de identificación.
Benefits Standard Option High Option
Optional Lenses and Treatments In-Network Only In-Network Only
Ultraviolet Protective Coating Nothing Nothing
Polycarbonate Lenses Nothing Nothing
Blended Segment Lenses $20 $20
Intermediate Lenses $30 $30
Standard Progressives $50 Nothing
Premium Progressives (Varilux®) $90 $90
Select Progressive Lenses $70 $70
Ultra Progressive Lenses (Digital) $195 $195
Photochromic Glass Lenses $20 $20
Plastic Photosensitive Lenses (Transitions® SignatureTM) $65 Nothing
Polarized Lenses $75 $75
Standard Anti-Reflective (AR) Coating $35 $20
Premium AR Coating $48 $33
Ultra AR Coating $60 $45
High-Index Lenses (up to 1.67)3 $55 $55
Benefits Standard Option High Option
Eye Exam (Once per year) No copay, covered every calendar yearSpectacle Lenses (One per year)
No copay, covered every calendar year
Lens Treatments Lens options are either covered-in-full or at significant savings over retail. For a complete list of lens treatment options, please refer to the 2018 brochure.
FEP BlueVision Exclusive Collection1 Covered-in-full and includes any frame from the FEP BlueVision Exclusive Collection1
Frames
No copay, covered every 2 calendar years
Non-Collection Frames: $130 toward any provider supplied frame, plus 20% off charges over $1302.
No copay, covered every calendar year
Non-Collection Frames: $150 toward any provider supplied frame, plus 20% off charges over $1502.
Additional $50 frame allowance when you purchase frames from any location.
Contact Lenses (in lieu of eyeglasses)
Up to $130 per calendar year toward contact lenses, evaluation, fitting and follow-up fees, plus 15% off charges over $1302.
Up to $150 per calendar year toward contact lenses plus 15% off charges over $1502. Evaluation, fitting and follow-up fees fully covered for non-specialty lenses and covered up to $60 for specialty contact lenses.
Vision Correction Surgery Save up to 40% to 50% on traditional LASIK surgery at QualSight LASIK. To take advantage of the discount, you must call 855-502-2020.
What you pay for in-network services
2018 Premiums Standard Option High Option
BIWEEKLY MONTHLY BIWEEKLY MONTHLY
Self Only $3.95 $8.56 $5.67 $12.29
Self Plus One $7.90 $17.12 $11.33 $24.55
Self and Family $11.85 $25.68 $17.00 $36.83