All three medical plans offer annual eye exams and eyewear for you and your family. Your vision plan benefits depend on which medical plan you have selected.
| If your medical plan is: | Your Vision Care Program is: |
|---|---|
| Kaiser Permanente HMO | Kaiser Vision (and National Vision Administrators) |
| Blue Choice HMO | Davis Vision |
| CareFirst PPO | Davis Vision |
- National Vision HMO (For Kaiser Enrollees)
- CareFirst/Davis Vision
- Vision Benefit by Comparison
- Limitations and Exclusions
National Vision HMO (For Kaiser Enrollees)
If enrolled in the Kaiser Permanente HMO Plan, you can use the Kaiser Vision and National Vision network for vision coverage. Eye exams require a $15 copay. You may also receive discounts on frames and lenses from in-network providers.
CareFirst/Davis Vision
If you are enrolled in the CareFirst PPO Plan or the Blue Choice HMO Plan, you are eligible for vision benefits through Davis Vision.
Under the CareFirst PPO Plan, you must pay a $15 copay for an eye exam. You are limited to one eye exam annually. You can also receive discounts on frames and lenses when using a Davis Vision provider.
Under the Blue Choice HMO Plan, you can have eye exams through Davis Vision for a $15 copay. Ophthalmologist visits through the HMO are free of charge with a referral from your primary care provider.
Vision Benefit by Comparison
| Plan Coverage | NVA (included with Kaiser) | DAVIS VISION (included with Blue Choice) | DAVIS VISION (included with CareFirst PPO) |
|---|---|---|---|
| Vision Coverage (Active Employees) | Exams through HMO: $15; discounted lenses and frames through National Vision Administrators (NVA) | Exams through Davis Vision: $15 co-pay Ophthalmologist visits through HMO: $0 co-pay with a referral from PCP; discounted frames and lenses through Davis Vision | Eye exam through Davis Vision: $15 One eye exam per calendar year; discounts on frames, lenses, and contacts when you use a Davis Vision provider |
| Vision Coverage (Retired Employees) | Exams through HMO: NVA discounts are not available to retired employees and widows | Exams through Davis Vision: $15 co-pay Ophthalmologist visits through HMO: $0 co-pay with a referral from PCP; discounted frames and lenses through Davis Vision | One eye exam per calendar year; discounts on frames, lenses, and contacts when you use a Davis Vision provider |
| Eye Exams | $15 co-pay | $15 through Davis Vision and $0 through HMO with a referral from PCP | $15 co-pay at participating Davis Vision providers |
| Frequency | Annually | Annually | Annually |
| Frames | You select any frame type from a participating provider and pay the wholesale price plus 50%. (You save because the retail price is often three times the wholesale cost.) | Up to $70 retail: You pay $40. Over $70 retail: You pay $40 plus 90% of the amount over $70 | Up to $70 retail: You pay $40. Over $70 retail: You pay $40 plus 90% of the amount over $70 |
| Lenses | For example, per the schedule, your cost would be $31/pair for single-vision plastic lenses. | You pay Single: $35 Bifocal: $55 Trifocal: $65 | You pay Single: $35 Bifocal: $55 Trifocal: $65 |
Limitations and Exclusions
Refer to the benefits booklet from your carrier or contact your carrier for limitations and exclusions to vision care services
