Eye Care (Exams, Glasses & Contacts)
Eye Exams
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Eye examinations are covered every 24 months for persons aged 19-64
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Persons under 19, 65 or over, or with a medical condition, may be eligible for more frequent examinations
Note: The program pays a maximum of $100.00 for eye exams for
persons between the age of 19 and 64. Many providers will ask you to pay an additional amount.
Eyewear
For clients 18 and younger
- $275 every year for standard eyewear
For clients 19 and older
- $275 every two years for standard eyewear
Eyeglasses Replacement
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To qualify for replacement eyeglasses there must be a change in your prescription of .5 (half) of a diopter or more
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To qualify for high index (thinner) lenses there must be a change of 7.00 diopters or more
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Lenses may be changed every 12 months for persons 17 and under
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Lenses may be changed every 24 months for persons 18 years and older
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Lenses may also be changed if there is a physical need or change
Contact Lenses
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Eligibility for contact lenses is evaluated on a case by case basis
Exclusions
Examples of vision care items and services that are not covered include:
- Items that support the use of prescription eyewear
- Industrial safety frames or lenses
- Non-prescription items
- Surgical procedures (e.g., laser eye surgery)
- Vision training
Contact
Pacific Blue Cross at 1-855-550-5454