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)
Plan Name | Summary of Benefits | Disclosure |
---|---|---|
Vision Deluxe 0/0/120 | English 740KB Spanish 787KB | Disclosure 808KB |
Vision Deluxe 0/0/130 | English 740KB Spanish 787KB | Disclosure 808KB |
Vision Deluxe 0/25/130 | English 742KB Spanish 787KB | Disclosure 808KB |
Vision Deluxe 0/0/150 | English 742KB Spanish 790KB | Disclosure 808KB |
Vision Deluxe 10/25/120 | English 742KB Spanish 789KB | Disclosure 808KB |
Vision Deluxe 10/25/150 | English 742KB Spanish 790KB | Disclosure 808KB |
Vision Deluxe 15/25/120 | English 742KB Spanish 789KB | Disclosure 808KB |
Vision Deluxe 15/25/130 | English 742KB Spanish 790KB | Disclosure 808KB |
Vision Deluxe 15/25/150 | English 743KB Spanish 790KB | Disclosure 808KB |
Vision Deluxe with Contacts 0/0/150/150 | English 742KB Spanish 788KB | Disclosure 808KB |
Vision Deluxe with Contact Lens and Fitting 10/25/150/150 | English 742KB Spanish 791KB | Disclosure 808KB |
Vision Deluxe with Contacts 15/25/150/150 | English 743KB Spanish 791KB | Disclosure 808KB |
Vision Plus 0/0/120 | English 740KB Spanish 787KB | Disclosure 808KB |
Vision Plus 0/0/130 | English 740KB Spanish 787KB | Disclosure 808KB |
Vision Plus 0/25/130 | English 742KB Spanish 791KB | Disclosure 808KB |
Vision Plus 0/0/150 | English 740KB Spanish 788KB | Disclosure 808KB |
Vision Plus 10/25/120 | English 743KB Spanish 789KB | Disclosure 808KB |
Vision Plus 10/25/150 | English 743KB Spanish 791KB | Disclosure 808KB |
Vision Plus 15/25/120 | English 743KB Spanish 789KB | Disclosure 808KB |
Vision Plus 15/25/130 | English 743KB Spanish 791KB | Disclosure 808KB |
Vision Plus 15/25/150 | English 743KB Spanish 791KB | Disclosure 808KB |
Vision Plus with Contacts 0/0/150/150 | English 740KB Spanish 788KB | Disclosure 808KB |
Vision Plus with Contacts 15/25/150/150 | English 740KB Spanish 791KB | Disclosure 808KB |
Vision Plus with Contact Lens and Fitting 15/25/150/150 | English 743KB Spanish 792KB | Disclosure 808KB |
Vision Standard with Contacts 0/0/150/150 | English 742KB Spanish 790KB | Disclosure 808KB |
Vision Standard with Contact Lens and Fitting 10/25/150/150 | English 740KB Spanish 791KB | Disclosure 808KB |
Vision Standard with Contacts 15/25/150/150 | English 743KB Spanish 791KB | Disclosure 808KB |
Vision Standard 0/0/120 | English 742KB Spanish 788KB | Disclosure 808KB |
Vision Standard 0/0/130 | English 740KB Spanish 787KB | Disclosure 808KB |
Vision Standard 0/25/130 | English 743KB Spanish 791KB | Disclosure 808KB |
Vision Standard 0/0/150 | English 742KB Spanish 788KB | Disclosure 808KB |
Vision Standard 10/25/120 | English 743KB Spanish 780KB | Disclosure 808KB |
Vision Standard 10/25/150 | English 740KB Spanish 791KB | Disclosure 808KB |
Vision Standard 15/25/120 | English 743KB Spanish 791KB | Disclosure 808KB |
Vision Standard 15/25/130 | English 743KB Spanish 791KB | Disclosure 808KB |
Vision Standard 15/25/150 | English 743KB Spanish 791KB | Disclosure 808KB |
Eye Exam Only | English 728KB Spanish 763KB | Disclosure 808KB |
Voluntary Vision Plans | Summary of Benefits | Disclosures |
---|---|---|
Vision Deluxe Voluntary 10/25/130 | English 742KB Spanish 791KB | Disclosure 808KB |
Vision Deluxe Voluntary 15/25/150 | English 742KB Spanish 790KB | Disclosure 808KB |
Vision Plus Voluntary 10/25/130 | English 743KB Spanish 791KB | Disclosure 808KB |
Vision Plus Voluntary 15/25/120 | English 743KB Spanish 790KB | Disclosure 808KB |
Vision Standard Voluntary 10/25/130 | English 743KB Spanish 791KB | Disclosure 808KB |
Vision Standard Voluntary 15/25/120 | English 743KB Spanish 790KB | Disclosure 808KB |
Not Marketed Vision Plans | Summary of Benefits | Disclosure |
---|---|---|
Vision Deluxe 0/15/130 | English 742KB Spanish 790KB | Disclosure 808KB |
Vision Plus 0/15/130 | English 740KB Spanish 780KB | Disclosure 808KB |
Vision Plus 0/25/120 | English 742KB Spanish 789KB | Disclosure 808KB |
Vision Plus 10/0/100 | English 740KB Spanish 787KB | Disclosure 808KB |
Vision Standard 0/0/100 | English 741KB Spanish 787KB | Disclosure 808KB |
Vision Standard 0/0/75 | English 742KB Spanish 787KB | Disclosure 808KB |
Vision Standard 0/15/120 | English 743KB Spanish 791KB | Disclosure 808KB |
Vision Standard 0/15/130 | English 743KB Spanish 791KB | Disclosure 808KB |
Vision Standard 0/25/100 | English 742KB Spanish 789KB | Disclosure 808KB |
Vision Standard 10/0/100 | English 742KB Spanish 787KB | Disclosure 808KB |
Plan Name | Summary of Benefits | Disclosures |
---|---|---|
Vision Standard Materials only -/15/120 | Disclosure 808KB |
Contact Us
Producer Services (800) 559-5905
Employer Services (800) 325-5166
Blue Shield of California
PO Box 272540
Chico, CA 95927-2540
Quick Links
Get Social
© California Physicians’ Service DBA Blue Shield of California 1999-. All rights reserved. California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association.
Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.