Vision Hardware

 

(Optional)

Administered by Blue Cross Blue Shield, 1-800-820-1674 or 406-447-8747
www.bcbsmt.com


Who is Eligible?

Employees, spouses, adult dependents, retirees,
and children are eligible if you elect to have this coverage.


Using Your Hardware Benefit

Quality vision care is important to your eye wellness and overall health care. Accessing your Vision Hardware benefit is easy. Simply select your provider, purchase your hardware and submit to Blue Cross Blue Shield (BCBS) for processing.

NewBeginning July 1, 2014 the voluntary vision coverage is a hardware benefit only. Eye Exams, whether preventive or medical, are covered under the medical benefit plan.

 

Rates

Monthly Vision Hardware Rates:
Employee Only $7.11
Employee & Spouse/Adult Dep. $13.42
Employee & Child(ren) $14.13
Employee & Family $20.73

 

Service/Material

Coverage

Frames:
Once every two years
$175 allowance
Single Vision
Bifocal
Trifocal
Standard Progressives
Once every benefit year in lieu of contacts
$5 copay each lens
$5 copay each lens
$5 copay each lens
$25 copay each lens
Lens Options:
UV Coating
Tin (Solid and Gradient)
Standard Scratch Resistance
Standard Polycarbonate
Standard A/R

$5 copay each lens
$5 copay each lens
$5 copay each lens
$20 copay each lens
$25 copay each lens
Contact Lens Materials:
Conventional & Disposable

*Medically Necessary
Once every benefit year in lieu of eyeglass lenses

$150 allowance

$150 allowance paid in full

Contact Lens Exam Fees:

Standard Contact Lens Fit & Follow-up

 

Premium Contact Lens Fit & Follow-up
Once every benefit year

$5 copay, paid in full fit and
two follow up visits

 

$5 copay

* Contact lenses that are required to treat medical or abnormal visual conditions, including but not limited to eye surgery (i.e. cataract removal), visual perception in the better eye that cannot be corrected to 20/70 through the use of eyeglasses, and certain corneal or other eye disease



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