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FEP BlueVision

The Clear Choice

Did You Know...


A comprehensive eye exam can detect a number of eye diseases, as well as
signs of systemic conditions such as diabetes, thyroid disease, high blood
pressure and neurological impairments.

FEP BlueVision helps you care for your family while saving
you money. When

making decisions about your eye care, FEP BlueVision is the clear choice.

Advantages of FEP BlueVision

Whether signing up yourself or the whole family,


your High Option premiums cost a fraction of what
you would pay without insurance. Self Only members
cover their eyewear needs for less than $133 per
year in premiums. A family (of 3 or more persons)
can cover all of their eye care needs for less than
$400 per year in premiums.

2. For affordable fashion, choose from the FEP


BlueVision Collection at nearly 10,000
independent participating provider offices at no
cost OR choose any frame at an independent
or retail participating provider location and use
your generous frame allowance with little to no
out-of-pocket expense.

LIVING FEARLESS IS HAVING


FEP BLUEVISION BENEFITS.

3. Selection of the latest lens technology available


with little to no out-of-pocket expense. Set
pricing on all lens options available which wont
leave you guessing at the time of your visit.
Average
Retail Cost

FEP BlueVision
Member Cost

Eye Examination

$103

Free

FEP BlueVision Collection Frames

$160

Free

Premium Progressive Lenses

$259

$90*

$23

Free

Premium Anti-Reective Coating

$107

$33*

Plastic Photosensitive Lenses (Transitions)

$110

Free

Polycarbonate Lenses

$66

Free

One-Year Breakage Warranty

$30

Free

Ultra-Violet Coating

Total

$858

Tremendous Savings

1. A routine eye examination at no cost (zero


out-of-pocket) for you and your family from
over 48,000 participating providers nationwide.

Sample Eyewear Purchase


for Progressive Lenses

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Total
Savings
$602
- Annual Premium $132.86

=70% Savings!

$123

*Based on High Option benet and Premium Collection frames

Contact Us Today:

For more information, call 1.888.550.BLUE (2583) or TTY 1.800.523.2847,


or visit us on the web at www.fepblue.org
(click on Benefit Plans then click on the link to FEP BlueVision).
To enroll, visit www.BENEFEDS.com or call 1.877.888.3337.
9.15.FEPNW4

FEP BlueVision
2016 PREMIUMS

STANDARD OPTION
Bi-Weekly

Monthly

$3.83

$8.30

$5.11

$11.07

$7.66

$16.60

$10.23

$22.17

Self and Family

$11.48

$24.87

$15.34

$33.24

STANDARD OPTION

HIGH OPTION

Exam

One Per Year

One Per Year

Lenses

One Per Year

One Per Year

Frames

One Every Two Years

One Per Year

Eye Examination

No copayment, covered every calendar year

Spectacle Lenses:

No copayment, covered every calendar year


Lens options are either covered-in-full or at signicant savings over retail.
Please see below for copayments.

Lens Treatments
Frame:

No copayment, covered every 2 calendar years

FEP BlueVision Exclusive


Collection

No copayment, covered every calendar year

Covered-in-full and includes any frame from the FEP BlueVision Exclusive Collection
(retail values of up to $225)

Contact Lenses - Initial order

No copayment covered every calendar year (in lieu of eyeglasses)


Frames:
$130 toward any provider supplied frame,
plus 20% off charges over $130. /1
Contacts:
Up to $130 per calendar year toward
contact lenses, evaluation, fitting and
follow-up fees, plus 15% off charges
over $130. /1

Retail Allowance

Frames:
$150 toward any provider supplied frame,
plus 20% off charges over $150. /1
Contacts:
Up to $150 per calendar year toward contact
/1
lenses, evaluation plus 15% off charges over $150.
Evaluation, fitting and follow-up fees fully covered
for non-specialty lenses and covered up to $60
for specialty contact lenses.

FEP BlueVision Collection frames and all spectacle lenses manufactured in FEP BlueVision
laboratories are guaranteed for a period of one (1) year from the original date of dispensing./2

Eyeglass Warranty

YOU PAY

BENEFIT DESCRIPTION

AVG RETAIL VALUE

Other Vision Services

Average Retail Value

Standard Option

High Option

--------

In-Network Only

In-Network Only

Ultraviolet Protective Coating

$23

No Copay

No Copay

Polycarbonate Lenses

$66

No Copay

No Copay

Optional Lenses & Treatments:

Blended Segment Lenses

$50

$20

$20

Intermediate Lenses

$150

$30

$30

Standard Progressives

$207

$50

No Copay

Premium Progressives (Varilux)

$259

$90

$90

Select Progressive Lenses

$233

$70

$70

Ultra Progressive Lenses (Digital)

$369

$195

$195

Photochromic Glass Lenses

$60

$20

$20

Plastic Photosensitive Lenses (Transitions)

$110

$65

No Copay

Polarized Lenses

$95

$75

$75

Standard Anti-Reective (AR) Coating

$83

$35

$20

Premium AR Coating

$107

$48

$33

$121

$60

$45

$158

$55

$55

Ultra AR Coating
High-Index Lenses (up to 1.67)

/3

Additional discounts are not applicable at Costco, Walmart or Sams Club locations.
Warranty limitations may apply to provider- or retailer-supplied frames and/or spectacle lenses; see provider for details.
Industry standard for Hi-Index
NOTE: This is a summary of the many features and benets of FEP BlueVision.
For a complete description, please refer to your benet brochure.
*Average retail price reflects prices as of July 2015.

3/

Monthly

Self Only

Frequency

2/

Bi-Weekly

Self Plus One

2016 FEP BLUEVISION BENEFITS

1/

HIGH OPTION