Vision
Healthy eyes are a critical part of you and your family’s health and well-being. Yearly eye exams not only help prevent and address vision needs, they also play an important role in detecting other health conditions.
If you are enrolled in a Cummins medical plan, you will receive coverage through Blue View Vision for:
- Eye exams
- Frames
- Lenses
- Lens enhancements
- Contacts
When you use an in-network provider, the plan pays 100% of your annual comprehensive eye exam and provides an allowance for glasses or contacts each plan year. Plus, visiting an in-network provider means you’ll have access to other discounts and benefits on optional items like lens upgrades, additional pairs of glasses, and various accessories.
If you choose to visit an out-of-network provider, the plan will reimburse you for a portion of the cost depending on the services provided.
What does the vision plan cover?
| YOUR ANTHEM BLUE VIEW VISION PLAN BENEFITS* | In Network | Out-of-Network |
|---|---|---|
| Routine Eye Exam | ||
| Comprehensive eye examination | $0 copay | Up to $100 reimbursement |
| Eyeglasses Frames | ||
| One pair of eyeglass frames | $150 allowance, then 20% off any remaining balance | Up to $45 reimbursement |
| Eyeglass Lenses (instead of contact lenses) | ||
One pair of standard plastic prescription lenses:
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| Eyeglass Lens Enhancements | ||
| When obtaining covered eyewear from an Anthem Blue View Vision provider, you may choose to add any of the following lens enhancements at no extra cost. | ||
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No allowance when obtained out-of-network |
| Contact Lenses (instead of eyeglass lenses) | ||
| Contact lens allowance will only be applied toward the first purchase of contacts made during a benefit period. Any unused amount remaining cannot be used for subsequent purchases in the same benefit period, nor can any unused amount be carried over to the following benefit period. | ||
| Elective conventions (non-disposable) | $150 allowance, then 15% off any remaining balance | Up to $105 reimbursement |
| OR | ||
| Elective disposable | $150 allowance (no additional discount) | Up to $105 reimbursement |
| OR | ||
| Non-elective (medically necessary | Covered in full | Up to $210 reimbursement |
*Vision coverage is automatically included with your medical plan. All plan benefits are available once per plan year.
| OPTIONAL SAVINGS AVAILABLE FROM ANTHEM BLUE VIEW VISION IN-NETWORK PROVIDERS ONLY* | In-network Member Cost (after any applicable copay) | |
|---|---|---|
| Retinal Imaging – at member’s option can be performed at time of eye exam | Not more than $39 | |
| Eyeglass lens upgrades | ||
| When obtaining eyewear from a Anthem Blue View Vision provider, you may choose to upgrade your new eyeglass lenses at a discounted cost. Eyeglass lens copayment applies. |
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| Additional Pairs of Eyeglasses | ||
| Anytime from any Anthem Blue View Vision network provider |
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| Eyewear Accessories |
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| Contact lens fit and follow-up | ||
| A contact lens fitting and up to two follow-up visits are available to you once a comprehensive eye exam has been completed. |
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| Conventional Contact Lenses |
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1 Please ask your provider for his/her recommendation as well as the available progressive brands by tier.
2 Please ask your provider for his/her recommendation as well as the available coating brands by tier.
3 Standard fitting includes spherical clear lenses for conventional wear and planned replacement. Examples include but are not limited to disposable and frequent replacement.
4 Premium fitting includes all lens designs, materials and specialty fittings other than standard contact lenses. Examples include but are not limited to toric and multifocal.
*Vision coverage is automatically included with your medical plan. All plan benefits are available once per plan year
How do I find an in-network provider?
Go to the Anthem website and you can either sign in or search as a guest. Select the appropriate information from the drop down menus, and under Select a plan/network click on Blue View Vision.
Vision Summary Plan Description