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Vision

LAPRA members who enroll in the Anthem Blue Cross Prudent Buyer PPO or the Anthem Blue Cross CaliforniaCare

Plus HMO automatically receive vision coverage through Vision Service Plan (VSP).

You may use any vision provider for vision care; however, when you use a VSP Choice provider, you’ll save money

on exams and eyewear and there are no claim forms. VSP also offers discounts on glasses and sunglasses, contact

lenses, and laser vision correction. Most services are provided every 12 months. For more information and to find a

member doctor, visit the VSP website at

www.vsp.com

.

Vision Benefits for Kaiser HMO Members

If you enroll in the Kaiser HMO, vision care is provided through Kaiser. There is no charge for eye exams

to determine the need for vision correction. In addition, members receive a $350 allowance for medically

necessary eyewear every 24 months.

11

Benefit Feature

Coverage from VSP Choice

Network Provider

Non-VSP Choice Network

Reimbursement Amounts

1

Eye Exam

Once every 12 months

$20 co-pay

$45 reimbursement

Frames

Once every 12 months

Lenses

Once every 12 months

• Single vision lens

• Lined bifocal lens

• Lined trifocal lens

Plan pays up to $115 (20% discount on

out-of-pocket expense above $115)

Plan pays 100%

Plan pays 100%

Plan pays 100%

$47 reimbursement

$45 reimbursement

$65 reimbursement

$85 reimbursement

Contact Lenses & Fitting Exam

Once every 12 months

(in lieu of lenses and frames)

$120 allowance

$105 reimbursement

1

You must submit claim forms when you use non-VSP Choice Network providers.