Blue Cross Blue Shield FEP Vision
Section 5 Vision Services and Supplies
Section 5 Vision Services and Supplies
Medical Condition Benefit
This benefit provides additional coverage to members who have been diagnosed with the following conditions: Diabetes, Hypertension, Kidney Disease, Dementia, Pregnancy, HNCRT (Head
In-Network Only – High Option and Standard Option
One additional vision care exam covered in full every calendar year
If prescription changes, one additional pair of lenses covered in full for High Option members, $10 copay for Standard Option members. The prescription must have changed at least a 0.5 diopter or the seg height changed at least a 5.0 millimeter, or lens type changed, e.g. (from single vision to bifocal). Pre-authorization is required.
In-Network Only – High Option and Standard Option
One additional vision care exam covered in full every calendar year
If prescription changes, one additional pair of lenses covered in full for High Option members, $10 copay for Standard Option members. The prescription must have changed at least a 0.5 diopter or the seg height changed at least a 5.0 millimeter, or lens type changed, e.g. (from single vision to bifocal). Pre-authorization is required.