Benefit Summaries

Vision Benefit Summaries

Individual and Family Plans

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Benefit Summaries

The following benefit summaries for Blue Shield family vision plans. These vision plans can be purchased alongside a Blue Shield health plan or on a standalone basis.

2019 Vision Benefit Summaries

The following benefit summaries for Blue Shield family vision plans are effective January 1, 2019, and must be accompanied by the Important Legal Information Booklet (PDF, 1.3MB) when presented to your clients.

These vision plans can be purchased alongside a Blue Shield health plan or on a standalone basis.

Plan name
Ultimate Vision 15/25/120

English(PDF, 900KB)

Spanish(PDF, 900KB)

 
Ultimate Vision 15/25/150

English (PDF, 900KB)

Spanish (PDF, 900KB)

 

Specialty DuoSM Vision plan
Part of the Specialty Duo dental + vision package

English (PDF, 900KB)

Spanish (PDF, 900KB)

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Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.