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Vision plan benefits
Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers 2 vision plan options that you can compare below.
Exam Plan | Exam Plus Plan | |
|---|---|---|
| Cost per member, per month | $7.131 | $16.361 |
| Copay for routine vision exams in-network (once per 12 months) | $0 | $0 |
| Reimbursement for routine vision exams out-of-network (once per 12 months) | Up to $39 | Up to $39 |
| Eyeglass frames in-network | No allowance | $150 allowance |
| Eyeglass frames out-of-network | No allowance | $75 allowance |
| Eyeglass lenses or contact lenses in-network | No allowance | $25 copay on standard plastic lenses2 $90 copay on standard progressive lenses2 Member copays on premium progressive lenses are dependent on tiers2, 3 |
| Eyeglass lenses or contact lenses out-of-network | No allowance | Standard plastic lens allowance:2
Standard progressive lens allowance:2 up to $39 Premium progressive lens allowance:2 Tier 1, 2, 3, 4 up to $39 Contact lens allowance:2
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In-network discounts
In addition to these benefits, both of our vision plans offer discounts on products and services in-network.4
| Exam Plan | Exam Plus Plan | |
|---|---|---|
| Complete pairs of prescription eyeglasses or sunglasses (frames, lenses, and lens add-ons) | 35% discount | 40% discount |
| Partial pairs of eyeglasses (frames only or lenses only) | 20% discount | 20% discount on your remaining balance after $150 plan allowance for frames |
| Conventional contact lenses | 15% discount | 15% discount on your remaining balance after $150 plan allowance for conventional lenses |
| Non-prescription sunglasses | 20% discount | 20% discount |
| LASIK or PRK 5 | 15% off retail or 5% off promotional price | 15% off retail or 5% off promotional price |
| Retinal imaging | Discounted to $39 | Discounted to $39 |
| Contact lens fitting | No discount | Standard fit: Discounted to $55 Premium fit: 10% discount |
Information about vision plan limitations and exclusions
Disclosures:
Blue Cross NC does not recommend, endorse, warrant or guarantee any specific vendor, product or service available under or through third parties.
Benefits and premium depend on plan selected.
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Rates may change.
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Vision plan covers an allowance/copay on either eyeglass lenses or contact lenses, not both.
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Certain brand name vision materials in which the manufacturer imposes a no-discount practice are excluded.
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LASIK or PRK discounts offered through the U.S. Laser Network are owned and operated by LCA Vision. LCA Vision is an independent company that is solely responsible for the services it provides. LCA Vision does not offer Blue Cross or Blue Shield products or services.
On behalf of Blue Cross NC, EyeMed Vision Care (EyeMed) assists in the network services of our Blue 20/20 product. EyeMed is an independent company that is solely responsible for the services it provides. EyeMed does not offer Blue Cross or Blue Shield products or services.
INDVIS-EO, 6/24; INDVIS-EP, 6/24. U46618, 4/25
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
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