2020 Benefit Summaries | Vision Highlights | Vision network at a glance | Benefit solutions | Vision Plans
For California members – English | For California members – Spanish
The following benefit summaries are for groups of 101 or more employees.
When providing a benefit summary to an applicant or Blue Shield member, you must also include a Notice of Language Assistance. (PDF, 1MB)
Vision Plans | Benefit Summary | Disclosures |
Vision Deluxe 0/0/120 | English Spanish | Disclosure |
Vision Deluxe 0/0/130 | English Spanish | Disclosure |
Vision Deluxe 0/25/130 | English Spanish | Disclosure |
Vision Deluxe 0/0/150 | English Spanish | Disclosure |
Vision Deluxe 10/25/120 | English Spanish | Disclosure |
Vision Deluxe 10/25/150 | English Spanish | Disclosure |
Vision Deluxe 15/25/120 | English Spanish | Disclosure |
Vision Deluxe 15/25/130 | English Spanish | Disclosure |
Vision Deluxe 15/25/150 | English Spanish | Disclosure |
Vision Deluxe with Contacts 0/0/150/120 | English Spanish | Disclosure |
Vision Deluxe with Contact Lens and Fitting 10/25/150/130 | English Spanish | Disclosure |
Vision Deluxe with Contacts 15/25/150/120 | English Spanish | Disclosure |
Vision Plus 0/0/120 | English Spanish | Disclosure |
Vision Plus 0/0/130 | English Spanish | Disclosure |
Vision Plus 0/25/130 | English Spanish | Disclosure |
Vision Plus 0/0/150 | English Spanish | Disclosure |
Vision Plus 10/25/120 | English Spanish | Disclosure |
Vision Plus 10/25/150 | English Spanish | Disclosure |
Vision Plus 15/25/120 | English Spanish | Disclosure |
Vision Plus 15/25/130 | English Spanish | Disclosure |
Vision Plus 15/25/150 | English Spanish | Disclosure |
Vision Plus with Contacts 0/0/150/120 | English Spanish | Disclosure |
Vision Plus with Contacts 15/25/150/120 | English Spanish | Disclosure |
Vision Plus with Contact Lens and Fitting 10/25/150/130 | English Spanish | Disclosure |
Vision Standard with Contacts 0/0/150/120 | English Spanish | Disclosure |
Vision Standard with Contact Lens and Fitting 10/25/150/130 | English Spanish | Disclosure |
Vision Standard with Contacts 15/25/150/120 | English Spanish | Disclosure |
Vision Standard 0/0/120 | English Spanish | Disclosure |
Vision Standard 0/0/130 | English Spanish | Disclosure |
Vision Standard 0/25/130 | English Spanish | Disclosure |
Vision Standard 0/0/150 | English Spanish | Disclosure |
Vision Standard 10/25/120 | English Spanish | Disclosure |
Vision Standard 10/25/150 | English Spanish | Disclosure |
Vision Standard 15/25/120 | English Spanish | Disclosure |
Vision Standard 15/25/130 | English Spanish | Disclosure |
Vision Standard 15/25/150 | English Spanish | Disclosure |
Eye Exam Only | English Spanish | Disclosure |
Voluntary Vision Plans | Benefit Summary | Disclosures |
Vision Deluxe Voluntary 10/25/130 | English Spanish | Disclosure |
Vision Deluxe Voluntary 15/25/150 | English Spanish | Disclosure |
Vision Plus Voluntary 10/25/130 | English Spanish | Disclosure |
Vision Plus Voluntary 15/25/120 | English Spanish | Disclosure |
Vision Standard Voluntary 10/25/130 | English Spanish | Disclosure |
Vision Standard Voluntary 15/25/120 | English Spanish | Disclosure |
Not Marketed Vision Plans | Benefit Summary | Disclosures |
Vision Deluxe 0/0/100 | English Spanish | Disclosure |
Vision Deluxe 0/15/130 | English Spanish | Disclosure |
Vision Deluxe 0/25/120 | English Spanish | Disclosure |
Vision Plus 0/0/100 | English Spanish | Disclosure |
Vision Plus 0/15/120 | English Spanish | Disclosure |
Vision Plus 0/15/130 | English Spanish | Disclosure |
Vision Plus 0/25/100 | English Spanish | Disclosure |
Vision Plus 0/25/120 | English Spanish | Disclosure |
Vision Plus 10/0/100 | English Spanish | Disclosure |
Vision Plus 10/0/75 | English Spanish | Disclosure |
Vision Standard 0/0/100 | English Spanish | Disclosure |
Vision Standard 0/0/75 | English Spanish | Disclosure |
Vision Standard 0/15/120 | English Spanish | Disclosure |
Vision Standard 0/15/130 | English Spanish | Disclosure |
Vision Standard 0/25/100 | English Spanish | Disclosure |
Vision Standard 0/25/120 | English Spanish | Disclosure |
Vision Standard 10/0/100 | English Spanish | Disclosure |
Vision Standard 10/0/75 | English Spanish | Disclosure |
Vision Standard Voluntary 0/25/120 | English Spanish | Disclosure |
Plan Name | Benefit Summary | Disclosures |
---|---|---|
Vision Standard Materials only -/15/120 (PDF, 47KB) | Disclosure |
Plan Name | Benefit Summary | Disclosure |
---|---|---|
Specialty DuoSM Vision (benefit summary) |
English Spanish | Disclosure Duo Combined Disclosure |
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