new in 2020: enhanced vision network · 27-11-2018 · adult vision care begins on the first day...
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Vision and Dental
Please note: There should be a white line on top and bottom of this pattern strip the same width as the white lines in the graphic when used on a color background or photo. They are present in this vector image.
QuickEnroll
QuickBill
FOCUSfwd GreatExpectations
Hearing Aids
Biometric Screening
Learning Management System
TobaccoCessationBlueChoice
HealthPlan WireMy Health
ToolkitRewards
2018 Icons - Cumulative
Bases
Storefront
REV: 11/27/2018
Education Center
Laboratory Benefits Mgmt
Physician’s Office Manual
News
BlueOption
Blues Flash
ProducersGuide
Discounts andAdded Values
Business ADV Core ServicesCore ServicesHealth Care Reform
Video Carolina ADVAdvantage Plus MyChoice ADV Primary Choice Medical PoliciesFlexible Savings
AccountHealth
Reimbursement Account
EmployeeAssistanceProgram
Mobile App
QuickEnroll
QuickBill
FOCUSfwd GreatExpectations
Hearing Aids
Biometric Screening
Learning Management System
TobaccoCessationBlueChoice
HealthPlan WireMy Health
ToolkitRewards
2018 Icons - Cumulative
Bases
Storefront
REV: 11/27/2018
Education Center
Laboratory Benefits Mgmt
Physician’s Office Manual
News
BlueOption
Blues Flash
ProducersGuide
Discounts andAdded Values
Business ADV Core ServicesCore ServicesHealth Care Reform
Video Carolina ADVAdvantage Plus MyChoice ADV Primary Choice Medical PoliciesFlexible Savings
AccountHealth
Reimbursement Account
EmployeeAssistanceProgram
Mobile App
AllBlueOptionplansincludeourroutinepediatricandadultvisioncoveragethroughanindependentcompany,
PhysiciansEyecareNetwork(PEN).PENprovidesvisionservicesthroughthePhysicianEyecarePlan(PEP)onbehalfof
BlueChoiceHealthPlan.
Youhaveaccesstotheseretailproviders:WalmartVisionCenter,PearleVision,Sam’sClubOptical,LensCrafters,Target
Optical,Sear’sOptical,EyeglassWorldandAmerica’sBest.
Pediatric Vision Care*
For children (ages 0-18), this includes:
• $15 copay for one annual routine eye exam
•$49copayforonestandardcontactlensfittingor15%discountofftheprovider’snon-standardcontactlensfittingfee.
•$150materialallowancewitha$25copayeverybenefityearforglassesandcontactsthatcanbespentonframes,lenses
andlensupgradeswithnolimitsonframeorlensselection.
•Discountsof20%onglassesand15%oncontactsonanyamountsspentoverthematerialallowance(atmostproviders).
•FormembersoutsidetheSouthCarolinaservicearea,upto$40willbeallowedtowardtheroutineeyeexamandupto
65%ofthematerialallowancethatisused,lessmaterialcopay.Themembermustfileclaims.*Fordependentchildrenuntiltheageof18.Adultvisioncarebeginsonthefirstdayofthemonthfollowingtheir19thbirthday.
Please note: For pediatric vision, you must visit an in-network provider to receive this benefit. Costs incurred from these services count toward maximum out-of-pocket (MOOP) expenses. These benefits are essential.
Adult VisionForadultvisioncare(ages19andover),thisincludes:
•$0copayforoneannualroutineeyeexam.
•$49copayforonestandardcontactlensfittingor15%discountofftheprovider’snon-standardcontactlensfittingfee.
•$150materialallowancewith$0copayeverybenefityearforglassesandcontactsthatcanbespentonframes,lensand
lensesupgradeswithnolimitsonframeorlensselection.
•Discountsof20%onglassesand15%oncontactsonanyamountsspentoverthematerialallowance(atmostproviders).
•FormembersoutsidetheSouthCarolinaservicearea,upto$40willbeallowedtowardtheroutineeyeexamandupto
65%ofthematerialallowancethatisused,lessmaterialcopay.Themembermustfileclaims.
Please note that you must visit an in-network provider to receive this benefit. Costs incurred from these services do not count toward MOOP expenses. Consult your PEP provider for information on discounts for which you may be eligible if you elect to receive eyewear/contact lenses outside the standard designated selection. These benefits are non-essential.
NEW IN 2020:Enhanced
Vision Network
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Dental CarePlansincludeadentalallowanceforadultsandchildrenforexamsandcleanings.Thisbenefitcoversanallowed
amountperbenefitperiodforexamsandcleaningsatanylicenseddentist.
For Adults:•Oneexameverysixmonths:$50allowanceforinitial/$50allowanceforperiodic.
•Onecleaningeverysixmonths:$50allowance.
For Children:•Oneexameverysixmonths:$50allowanceforinitial/$50allowanceforperiodic.
•Onecleaningeverysixmonths:$50allowance.
Memberswillberesponsibleforpayinganyadditionalbalanceabovewhatcopaywecover.Youwillneedtosubmita
dentalreimbursementformtoBlueChoice®forreimbursement.
Forexample,ifyourdentistchargesyou$80foraninitialexam,youwillpayyourdentist$80atthetimeofservice.Wewill
reimburseyou$50oncewereceiveyourreimbursementform.
Costs incurred from these services do not count toward MOOP expenses.
BlueChoiceHealthPlanofSouthCarolinaisanindependentlicenseeoftheBlueCrossandBlueShieldAssociation.
Focus on life. Focus on health. Stay focused.
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QuickEnroll
QuickBill
FOCUSfwd GreatExpectations
Hearing Aids
Biometric Screening
Learning Management System
TobaccoCessationBlueChoice
HealthPlan WireMy Health
ToolkitRewards
2018 Icons - Cumulative
Bases
Storefront
REV: 11/27/2018
Education Center
Laboratory Benefits Mgmt
Physician’s Office Manual
News
BlueOption
Blues Flash
ProducersGuide
Discounts andAdded Values
Business ADV Core ServicesCore ServicesHealth Care Reform
Video Carolina ADVAdvantage Plus MyChoice ADV Primary Choice Medical PoliciesFlexible Savings
AccountHealth
Reimbursement Account
EmployeeAssistanceProgram
Mobile App
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