VISION INSURANCE
AMIkids offers vision coverage through Blue Cross Blue Shield (BCBS). The Blue Cross Blue Shield vision plan provides you access to the EyeMed Vision network and allows you the flexibility to see any provider but, to maximize savings seek services from a EyeMed network provider. If you utilize an out-of-network provider, you’ll pay expenses at the time of service and file a claim for reimbursement. The chart below provides a brief overview of the plan and reimbursement schedule for out-of-network services. See Summary Plan Description for more details. Your vision is important to your health. Whether your vision is 20/20 or less than perfect, everyone should receive regular vision care. To find in-network providers visit www.MyHealthToolkitFL.com and hover over on the “Education Center” in the top menu and click on “Enrollment Tools”. Under Healthy Vision you will find a link for “EyeMed Provider Locator”. Get results by entering your location and select the “Access” network.
Vision EyeMed Access Network
Out-of-Network 1
In-Network
Routine Eye Exams
Every 12 months
$20 Copay
Reimbursed up to $200
Lenses 2
Every 12 months
Single Vision Bifocal Trifocal Lenticular
Reimbursed up to $200, depending on type of lenses
$40 Copay
Frames
Every 12 months
$40 Copay provides, $130 Allowance PLUS 30% off cost over the allowance
$200 allowance
Contact Lenses (in lieu of glasses)
Every 12 months
Elective Contact Lenses Preferred Non-Preferred
$40 Copay provides up to 8 boxes $40 Copay provides, $200 allowance
Reimbursed up to $200
Medically Necessary
$40 Copay
Reimbursed up to $200
1 Reimbursable amount, less applicable copay. 2 Lenses benefit listed are for a pair of lenses.
Cost for Coverage Amounts shown are per pay check ( 24 payments/year )
Vision Plan
Employee Only
EE
$ 3.74
Employee + Spouse
ES
$ 7.70
Employee + Child(ren)
EC
$ 6.50
Employee + Family
FAM
$10.46
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