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Standard Option
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High Option
|
Frequency (once per)
|
Exam | 12 Months |
Lenses | 12 Months |
Frames | 24 Months |
|
Exam | 12 Months |
Lenses | 12 Months |
Frames | 12 Months |
|
Biweekly Premium (Pre-tax for Actives)
|
Self Only | $3.97 |
Self Plus One | $7.95 |
Self and Family | $11.93 |
|
Self Only | $5.01 |
Self Plus One | $10.02 |
Self and Family | $15.03 |
|
Monthly Premium (Post-tax for Annuitants)
|
Self Only | $8.60 |
Self Plus One | $17.23 |
Self and Family | $25.85 |
|
Self Only | $10.86 |
Self Plus One | $21.71 |
Self and Family | $32.57 |
|
Eye Examination
|
No copayment
|
No copayment
|
Spectacle Lenses
|
No copayment
|
No copayment
|
Includes choice of glass or plastic lenses, all lens powers (single vision, bifocal, trifocal, lenticular), fashion and
gradient tinting, oversized and glass-grey #3 prescription sunglass lenses. Polycarbonate lenses are covered
in full for children, monocular patients and patients with prescriptions >= +/- 6.00 diopters.
|
Optional Lens Treatments
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Available at significant savings. Please see below for copayments.
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Available at significant savings. Please see below for copayments.
|
Frame
|
Member pays nothing for frames from the FEP
BlueVision exclusive collection (with retail values of
up to $200) OR allowance up to $130 once every
two calendar years towards any provider supplied
frame; 20% off charges over $130*
|
Member pays nothing for frames from the FEP
BlueVision exclusive collection (with retail values of up
to $200) OR allowance up to $130 once every
calendar year towards any provider supplied frame;
20% off charges over $130*
|
Eyeglass Warranty
|
Unconditional breakage warranty to repair or
replace any Exclusive Collection or retailer
supplied frame and all spectacle lens(es) for a
period of one year from the date of dispensing.
|
Unconditional breakage warranty to repair or replace
any Exclusive Collection or retailer supplied frame and
all spectacle lens(es) for a period of one year from the
date of dispensing.
|
Contact Lens(es) - initial order (in lieu of eyeglasses)
|
Member pays nothing for Exclusive Formulary
Contact Lenses which covers many of the most
popular contacts on the market today and all fitting
and evaluation fees OR an allowance up to $130
per calendar year towards provider supplied
materials, fitting and evaluation fees; 15% off
charges over $130*.
|
Member pays nothing for Exclusive Formulary
Contact Lenses which covers many of the most
popular contacts on the market today and all fitting and
evaluation fees OR an allowance up to $130 per
calendar year towards provider supplied materials,
fitting and evaluation fees; 15% off charges over $130*.
|
Replacement Contact Lenses
|
Members save up to 50% on replacement contact
lens(es) and get the guaranteed lowest price
through Lens 1-2-3!®.
|
Members save up to 50% on replacement contact
lens(es) and get the guaranteed lowest price through
Lens 1-2-3!®.
|
Laser Vision
|
Up to 25% off the Usual and Customary price or
5% off promotional pricing.
|
Up to 25% off the Usual and Customary price or 5%
off promotional pricing.
|
Description
|
Average Retail Price
|
Member Prices
|
Savings
|
Ultraviolet Coating
|
$30
|
$12
|
$18
|
Scratch Resistant Coating
|
$30-$60
|
$20
|
$10-$40
|
Polycarbonate Lenses**
|
$60-$75
|
$0 or $30
|
$30-$75
|
Blended Segment Lenses
|
$50
|
$20
|
$30
|
Intermediate Vision Lenses
|
$150-$175
|
$30
|
$120-$145
|
Standard Progressive Addition Lenses (PALs)
|
$150-$200
|
$50
|
$100-$150
|
Premium PALs (Varilux™, etc.)
|
$200-$300
|
$90
|
$110-$210
|
Photochromic Glass Lenses
|
$30-$60
|
$20
|
$10-$40
|
Plastic Photosensitive Lenses (Transitions™)
|
$100-$150
|
$65
|
$35-$85
|
Polarized Lenses
|
$95
|
$75
|
$20
|
Standard Anti-Reflective Coating (ARC)
|
$50-$65
|
$35
|
$15-$30
|
Premium ARC
|
$65-$80
|
$48
|
$17-$32
|
Ultra ARC
|
$110-$125
|
$60
|
$50-$65
|
Hi-Index Lenses
|
$100-$150
|
$55
|
$45-$95
|
* At Wal-Mart locations additional discounts are not applicable.
** Polycarbonate lenses are covered in full for dependent children, monocular patients and patients with prescriptions >= +/- 6.00 diopters.
To learn more about how to enroll, call: 1.888.550.BLUE (2583) or visit www.fepblue.org
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Click Here to learn more about your 2008 FEP BlueVision® Benefits
|