FEP BlueVision
The Clear Choice
Did You Know...
A comprehensive eye exam can detect a number of eye diseases, as well as
signs of systemic conditions such as diabetes, thyroid disease, high blood
pressure and neurological impairments.
FEP BlueVision helps you care for your family while saving
you money. When
making decisions about your eye care, FEP BlueVision is the clear choice.
Advantages of FEP BlueVision
Whether signing up yourself or the whole family,
your High Option premiums cost a fraction of what
you would pay without insurance. Self Only members
cover their eyewear needs for less than $133 per
year in premiums. A family (of 3 or more persons)
can cover all of their eye care needs for less than
$400 per year in premiums.
2. For affordable fashion, choose from the FEP
BlueVision Collection at nearly 10,000
independent participating provider offices at no
cost OR choose any frame at an independent
or retail participating provider location and use
your generous frame allowance with little to no
out-of-pocket expense.
LIVING FEARLESS IS HAVING
FEP BLUEVISION BENEFITS.
3. Selection of the latest lens technology available
with little to no out-of-pocket expense. Set
pricing on all lens options available which wont
leave you guessing at the time of your visit.
Average
Retail Cost
FEP BlueVision
Member Cost
Eye Examination
$103
Free
FEP BlueVision Collection Frames
$160
Free
Premium Progressive Lenses
$259
$90*
$23
Free
Premium Anti-Reective Coating
$107
$33*
Plastic Photosensitive Lenses (Transitions)
$110
Free
Polycarbonate Lenses
$66
Free
One-Year Breakage Warranty
$30
Free
Ultra-Violet Coating
Total
$858
Tremendous Savings
1. A routine eye examination at no cost (zero
out-of-pocket) for you and your family from
over 48,000 participating providers nationwide.
Sample Eyewear Purchase
for Progressive Lenses
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Total
Savings
$602
- Annual Premium $132.86
=70% Savings!
$123
*Based on High Option benet and Premium Collection frames
Contact Us Today:
For more information, call 1.888.550.BLUE (2583) or TTY 1.800.523.2847,
or visit us on the web at www.fepblue.org
(click on Benefit Plans then click on the link to FEP BlueVision).
To enroll, visit www.BENEFEDS.com or call 1.877.888.3337.
9.15.FEPNW4
FEP BlueVision
2016 PREMIUMS
STANDARD OPTION
Bi-Weekly
Monthly
$3.83
$8.30
$5.11
$11.07
$7.66
$16.60
$10.23
$22.17
Self and Family
$11.48
$24.87
$15.34
$33.24
STANDARD OPTION
HIGH OPTION
Exam
One Per Year
One Per Year
Lenses
One Per Year
One Per Year
Frames
One Every Two Years
One Per Year
Eye Examination
No copayment, covered every calendar year
Spectacle Lenses:
No copayment, covered every calendar year
Lens options are either covered-in-full or at signicant savings over retail.
Please see below for copayments.
Lens Treatments
Frame:
No copayment, covered every 2 calendar years
FEP BlueVision Exclusive
Collection
No copayment, covered every calendar year
Covered-in-full and includes any frame from the FEP BlueVision Exclusive Collection
(retail values of up to $225)
Contact Lenses - Initial order
No copayment covered every calendar year (in lieu of eyeglasses)
Frames:
$130 toward any provider supplied frame,
plus 20% off charges over $130. /1
Contacts:
Up to $130 per calendar year toward
contact lenses, evaluation, fitting and
follow-up fees, plus 15% off charges
over $130. /1
Retail Allowance
Frames:
$150 toward any provider supplied frame,
plus 20% off charges over $150. /1
Contacts:
Up to $150 per calendar year toward contact
/1
lenses, evaluation plus 15% off charges over $150.
Evaluation, fitting and follow-up fees fully covered
for non-specialty lenses and covered up to $60
for specialty contact lenses.
FEP BlueVision Collection frames and all spectacle lenses manufactured in FEP BlueVision
laboratories are guaranteed for a period of one (1) year from the original date of dispensing./2
Eyeglass Warranty
YOU PAY
BENEFIT DESCRIPTION
AVG RETAIL VALUE
Other Vision Services
Average Retail Value
Standard Option
High Option
--------
In-Network Only
In-Network Only
Ultraviolet Protective Coating
$23
No Copay
No Copay
Polycarbonate Lenses
$66
No Copay
No Copay
Optional Lenses & Treatments:
Blended Segment Lenses
$50
$20
$20
Intermediate Lenses
$150
$30
$30
Standard Progressives
$207
$50
No Copay
Premium Progressives (Varilux)
$259
$90
$90
Select Progressive Lenses
$233
$70
$70
Ultra Progressive Lenses (Digital)
$369
$195
$195
Photochromic Glass Lenses
$60
$20
$20
Plastic Photosensitive Lenses (Transitions)
$110
$65
No Copay
Polarized Lenses
$95
$75
$75
Standard Anti-Reective (AR) Coating
$83
$35
$20
Premium AR Coating
$107
$48
$33
$121
$60
$45
$158
$55
$55
Ultra AR Coating
High-Index Lenses (up to 1.67)
/3
Additional discounts are not applicable at Costco, Walmart or Sams Club locations.
Warranty limitations may apply to provider- or retailer-supplied frames and/or spectacle lenses; see provider for details.
Industry standard for Hi-Index
NOTE: This is a summary of the many features and benets of FEP BlueVision.
For a complete description, please refer to your benet brochure.
*Average retail price reflects prices as of July 2015.
3/
Monthly
Self Only
Frequency
2/
Bi-Weekly
Self Plus One
2016 FEP BLUEVISION BENEFITS
1/
HIGH OPTION
