Vision Insurance — Keeping LAwell (2024)

Find a Provider

To access benefits, an ID care is not needed, just provide your name and date of birth to an in-network Blue View Vision provider to locate you in their system.

Although ID cards are not needed, they can be printed by visiting LAwellvision.org.

To find a network provider near you:

Visit LAwellvision.org and click “Find an Eye Doctor”

Download the Sydney Health mobile app (available in the Apple App Store and Google Play Store) and choose the Insight network from the list of network options.

Call the Blue View Vision Customer Care Center at 877-635-6403

Create an Online Account

To register an online account with Blue View Vision, visit the City of Los Angeles Blue View Vision microsite at LAwellVision.org

Upon your first visit, you will need to enter your:

  • First and last name
  • Date of birth
  • Last four digits of your SSN

In-Network Providers

The Blue View Vision plan provides care through a network of vision care specialists who have agreed to offer covered services at discounted rates. The Blue View Vision network has over 42,000 providers, at over 32,000 locations including independent providers plus national retail chains such as LensCrafters®, Target Optical®, and most Pearle Vision® locations.

Note that individual optometrist participation in any network is subject to change at any time, as optometrist and facility participation in a network is contractual.

Out-of-Network Providers

You can visit a vision care provider who does not participate in the Blue View Vision network and still receive benefits for covered services. You will be reimbursed up to a maximum dollar amount if you provide Blue View Vision with an itemized receipt and a completed claim form. Claim forms are available at LAwellvision.org or by calling the Blue View Vision Customer Care Center at 877-635-6403.

How Blue View Vision Benefits Work with Medical Plan Vision Benefits

Your medical vision services (Ophthalmology) are unchanged and still managed by your medical plan provider. This change to your stand-alone vision provider has no impact on your medical benefits.

Anthem and Kaiser members who prefer to receive an annual vision exam through their medical plan providers may do so but are not entitled to an eyewear allowance through their medical plan. Eyewear (frames, lenses, and contacts) received from a medical plan provider may be submitted to Blue View Vision for reimbursem*nt as an out-of-network provider. Members may also visit a Blue View Vision in-network provider using their medical plan provider prescription and purchase eyewear using their Blue View Vision materials benefit.

The table below outlines how your Blue View Vision benefit can be used with your medical plan. Note: Allowances may vary per specific benefit, based on the type of benefit item purchased, and do not apply to all benefits.


Description

Blue View Vision

Kaiser

Anthem
Routine Eye Exam Covered with copay Covered with copay Not covered
Eyewear – Frames, Lenses,
or Contacts
Up to $150 allowance
every year (does not roll over
if not used)
Not covered
(Partial reimbursem*nt available from Blue View Vision if member files an
out-of-network claim.)
Medical Eye Exams
(e.g., screening for medical
vision conditions like
glaucoma and cataracts)
Check with Blue View Vision provider
before seeking medical/
ophthalmology-related
services
Covered with copay Covered with copay
Primary care physician
(PCP) referral and/or medical
group authorization may be
required under HMO plans.
Please contact your PCP
for information regarding
their referral process before
seeking care from a specialist.
Treatment of Vision
Conditions (e.g., glaucoma
and cataracts)
Not covered Covered with copay Covered with copay
Primary care physician
(PCP) referral and/or medical
group authorization may be
required under HMO plans.
Please contact your PCP
for information regarding
their referral process before
seeking care from a specialist.
Vision Insurance — Keeping LAwell (2024)

FAQs

What are the disadvantages of vision insurance? ›

  • You may not be able to use out-of-network services.
  • If you don't need regular eye care, it may not be worth the money.
  • Some vision care insurance limits what you can purchase in terms of eye wear.

How many glasses will my insurance cover? ›

In general, many plans offer coverage for one pair of prescription eyeglasses or prescription sunglasses and a set allowance for contact lenses per year. Most plans don't cover multiple pairs or cover purchases for both prescription eyewear and contact lenses within the same year.

How important is vision insurance to employees? ›

Accessing a vision plan, instead of paying out-of-pocket costs, makes employees more likely to participate in preventative care and stay on top of vision issues. Companies that provide vision insurance can enjoy a high return on investment (ROI) from the dollars they spend.

Is blue view vision the same as EyeMed? ›

Employees and their eligible dependents may enroll in the Anthem Blue View Vision PPO Plan (EyeMed).

Does vision insurance actually save you money? ›

So if you only get an eye exam once every couple of years and don't need to wear glasses or contacts, you're probably better off paying out-of-pocket than signing up for vision insurance. But if you need corrective lenses and regular preventative care, you'll most likely save money by getting vision insurance.

Why do glasses cost so much even with insurance? ›

Retail Markup

If you buy from a brick-and-mortar optical retailer, the price may include additional expenses for rent, utilities, employee salaries, and more. When you combine these markups with brand premiums and marketing expenses, you can get a pretty expensive pair of glasses.

Is $200 too much for glasses? ›

Glasses Types

A pair of glasses can range anywhere from $10 for readers to several thousand dollars depending on the brand and prescription lenses. But average prescription eyewear costs between $200 and $300 in today's market. Without insurance to cover the cost, you will need to search for the best price.

What is the limit of prescription glasses? ›

The highest eye prescription for glasses generally goes up to -20.00 for myopia and +20.00 for hyperopia. However, it can vary depending on the individual and their specific eye condition. It is best to consult with an eye care professional for an accurate prescription.

What are the benefits of a vision plan? ›

Other potential benefits of vision insurance may include: Access to eye care services while reducing the financial burden on individuals. Regular eye checkups, which can help detect eye-related issues or signs of underlying health conditions. Potential savings on eyewear, such as frames and lenses.

How do employees benefit from a vision statement? ›

4. Employee alignment and engagement. A vision statement helps to align employees' personal goals with the company's objectives. This can lead to increased employee engagement, productivity, and job satisfaction.

What are the benefits of having insurance through your employer? ›

Here are key employee benefits of employer-sponsored health coverage – and why you should be offering it: It can reduce absenteeism. A healthy employee is present and more productive. And the more physically sound workers are, the less prone they are to injuries and less likely they are to miss workdays.

What is the legal name for EyeMed? ›

This Online Privacy Policy (“Policy”) describes how EyeMed Vision Care LLC (“we” or “EyeMed”) handles information we collect about you through our website located at www.eyemed.com or other online channels that link to this Policy (collectively, “Site”).

Does EyeMed cover ortho K lenses? ›

Is Ortho-K Covered by Insurance? Ortho-K is generally not covered by vision insurance plans (VSP or EyeMed) because it is considered to be an “elective procedure”. Patients can of course use before-tax, FSA, or HSA dollars to pay for their course of treatment and this will reduce overall costs significantly.

Is VSP different from EyeMed? ›

VSP and EyeMed are competitors. As such, they have different provider networks. Both VSP and EyeMed have a variety of vision insurance plans to choose from, with good ranges in price and coverage.

What are the disadvantages of eye cover? ›

Blurred vision – Sleeping with an eye mask that fits tightly may effectively block outside light, but it's not great for your eyes. The consistent pressure put on your eyes by a tight sleeping mask may cause blurred vision when you wake up.

What items are not typically covered by vision insurance? ›

Vision plans do not cover any part of an eye exam considered “medical”. For example, vision insurance will not cover vision loss, floaters, dry eyes, allergies, infections, eye disease, or eye exams for complication from diabetes.

Is private eye insurance worth it? ›

If you need some financial aid for preventive care, vision insurance may be the right choice for you—it can help cover standard services and support. However, if you need more in-depth eye care, you may need to pay out-of-pocket, especially for things like laser surgery, designer frames, and more.

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