Your Health:

Vision

Legacy Marathon Petroleum Employees

Your Vision Plan is administered by Anthem Blue View Vision. You can receive care from any licensed eye care professional, but if you see an Anthem in-network provider, you receive a higher level of benefits and there are no claim forms to file. To find a provider, visit www.anthem.com. ID cards are provided for this plan. Vision coverage is included on your Anthem medical ID card, if you are enrolled in the Health Plan as well.

Employees at Legacy Andeavor Locations

Your Vision Plan is administered by VSP. You may visit any vision care provider, but you will receive a higher benefit if you choose a VSP preferred provider. To find a provider, visit www.vsp.com. No ID cards are provided through VSP.

Vision Plan Coverage Chart

Vision Plan – Anthem Blue View Vision
Plan Features In-Network Out-of-Network

Frequency of Service

  • Exams
  • Lenses/Contacts
  • Frames

 

  • Once every calendar year
  • Once every calendar year
  • Once every other calendar year

 

  • Once every calendar year
  • Once every calendar year
  • Once every other calendar year

Cost of Services

  • Exams
  • Frames
  • Lenses
    • Single Vision
    • Bifocal
    • Trifocal
  • Contacts (in lieu of prescription eyeglass lenses)

 

  • No copay
  • No copay (up to $130 retail)
  •  
    • $10 copay
    • $10 copay
    • $10 copay
  • Up to a maximum allowance of $130. This benefit applies to one order of contact lenses per calendar year.

 

  • Up to a maximum allowance of $35
  • Up to a maximum allowance of $45
  •  
    • Up to a maximum allowance of $25
    • Up to a maximum allowance of $40
    • Up to a maximum allowance of $55
  • Up to a maximum allowance of $105. This benefit applies to one order of contact lenses per calendar year.

Vision Plan Rates for Active Employees

2019 Monthly Vision Plan Contributions
  Employee Only Employee + Spouse Employee + Children Employee +Family
Regular Full-Time and Part-Time Employees $7.00 $12.00 $13.00 $20.00

Vision Plan Rates for Pre-65 Retirees

Retirees under age 65 are eligible for the same vision coverage as MPC active employees.

* This Plan is not open to new enrollment. Please check with the Benefits Service center on your eligibility.

Pre-65 Retiree Vision Plan – 2019 Monthly Contributions
Retiree Only Retiree + Spouse Retiree + Children Retiree + Family
$7.00 $12.00 $13.00 $20.00

More Important Information