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Vision Plan
Blue Shield Vision
Provider Directory |
The Blue Shield Vision Plan is a PPO platform, allowing you the flexibility of visiting a network provider, or to choose a provider out-of-network. The plan offers a broad range of coverage, including exams, lenses, contact lenses and frames available through a comprehensive range of eye care providers and locations. The plan is known as a '12-12-24', meaning that you may have an exam every 12 months, purchase lenses every 12 months and purchase a frame every 24 months. Along with an extensive list of participating independent optometrists, several popular retail locations are also included in the provider list as LensCrafters, Target Optical, Costco and Walmart locations.
Seeking care in-network from a participating provider will significantly lower your out-of-pocket costs. These providers offer you discount pricing that is below the average retail cost of the service or product provided. Though you have the flexibility of seeking care out-of-network from your own provider choice, please keep in mind that you will be responsible for all costs at the time of service and will submit a claim for reimbursement. To view a detailed description of the benefits provided, please click on Blue Shield Vision at left. It is easy to find a provider. Simply click on Provider Directory. You will then be taken to a screen where you may supply a ZIP code for your search. |
2018 Payroll Deduction Authorization
Payroll Deduction Authorization Form |
In order to view the per-pay-period deduction amounts for the vision plan, please click on the 2018 Payroll Deduction Authorization Form to the left. If you choose to enroll in any of the plans, please print, complete and sign the form and submit to Human Resources.
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Questions?
For questions about claims, please click on Important Plan/Contract Information under the appropriate line of coverage for the customer service contact number.
For questions regarding plan eligibility, benefits or enrollment forms, contact Thomas Lambert at Ashbrook Clevidence.
Phone: (714) 979-4023
Fax: (714) 979-2809
Email: TomL@aclevidence.com
We thank you for the opportunity to be of service to you and your family!
For questions regarding plan eligibility, benefits or enrollment forms, contact Thomas Lambert at Ashbrook Clevidence.
Phone: (714) 979-4023
Fax: (714) 979-2809
Email: TomL@aclevidence.com
We thank you for the opportunity to be of service to you and your family!
