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Introduction

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.

Vision Plan Coverage Chart
Vision Plan – Anthem Blue View Vision
Plan Features In-network

Exams

A Comprehensive eye exam annually covered at 100%

Contacts of Frames

$130 allowance annually towards frames or contacts.

  • Frames are covered every other year.
  • Allowance applies to one order per year of contacts.

Lenses (Single vision, bifocal, trifocal)

$10 copay

Vision Plan Rates for Active Employees
2021 Vision Plan Monthly Employee Contributions (pre-tax payroll deductions)
  Employee Only Employee + Spouse Employee + Children Employee + Family
Vision Plan $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 – 2021 Monthly Contributions
  Retiree Only Retiree + Spouse Retiree + Children Retiree + Family
Vision Plan $7.00 $12.00 $13.00 $20.00

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