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Blue 20 / 20 Exam Plan | Blue 20 / 20 Exam Plus Plan | |
|---|---|---|
| Overview | Our most affordable vision coverage | Our most complete vision coverage |
| Cost per member, per month | Routine vision care for $7.131 per member, per month | Comprehensive vision coverage for $16.361 per member, per month |
| Copay for routine vision exams in-network | $0 | $0 |
| Copay for routine vision exams out-of-network | $39 | $39 |
| Eyeglass frames in-network | No allowance for frames 35% discount on complete set of glasses | $150 allowance Discounts honored at in-network providers |
| Eyeglass frames out-of-network | No allowance | $75 allowance |
| Eyeglass lenses in-network | No lens benefit 35% discount in-network on complete set of glasses, including progressive lenses | $25 copay on standard plastic lenses $25 copay plus $65 on progressive lenses2 Member costs on premium progressive lenses are dependent on tiers3 Discounts honored at in-network providers |
| Contact lenses in-network | 15% off retail on conventional contact lenses No discount on disposable lenses | $150 contact lens allowance |
| Contact lenses out-of-network | No discount on disposable lenses | $120 contact lens allowance2 |
| Non-prescription glasses and sunglasses in-network | 20% discount | 20% discount2 |
| LASIK or PRK coverage in-network | 15% off retail or 5% off promotional price | 15% off retail or 5% off promotional price |
| Retinal imaging in-network | Discounted up to $39 | Discounted up to $39 |
See more vision plan details
Learn more about your Blue Cross NC coverage options in our Vision Plan brochure, including plan information, pricing, steps to enroll and more.
Disclosures:
Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides free aids to service people with disabilities as well as free language services for people whose primary language is not English. Please contact 888-206-4697 (TTY: 711) for assistance.
Blue Cross and Blue Shield of North Carolina (Blue Cross NC) proporciona asistencia gratuita a las personas con discapacidades, así como servicios lingüísticos gratuitos para las personas cuyo idioma principal no es el inglés. Llame al 888-206-4697 (TTY: 711) para obtener ayuda.
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Rates may change.
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Vision plans cover an allowance on either contact lenses or traditional glasses lenses. You must choose to use your benefit on one or the other. Your plan does not cover an allowance on both.
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Premium progressive lens costs are based on tier.
- Tier 1: $25 copay, plus $85
- Tier 2: $25 copay, plus $95
- Tier 3: $25 copay, plus $110
- Tier 4: $90 copay plus 80% of retail less than $120 allowance
Blue Cross NC does not recommend, endorse, warrant or guarantee any specific vendor, product or service available under or through third parties.
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.
All other trade names are the property of their respective owners.
INDVIS-EXAM, 6/22 and INDVIS-EP, 6/22 U20849, 6/23
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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