2020 Blue Shield Life Vision Benefit Summaries

2020 Vision Benefit Summaries

Plans underwritten by Blue Shield of California Life & Health Insurance Company (Blue Shield Life).

Plan Name    Benefit Summary Disclosure
Eye Exam Only English          Spanish Disclosure
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 Voluntary 10/25/130 English          Spanish Disclosure
Vision Deluxe Voluntary 15/25/150 English          Spanish Disclosure
Vision Deluxe with Contacts 0/0/150/150 English          Spanish Disclosure
Vision Deluxe with Contact Lens and Fitting 15/25/150/150 English          Spanish Disclosure
Vision Deluxe with Contacts 10/25/150/150 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 Voluntary 10/25/130 English          Spanish Disclosure
Vision Plus Voluntary 15/25/120 English          Spanish Disclosure
Vision Plus with Contacts 0/0/150/120 English          Spanish Disclosure
Vision Plus with Contact Lens and Fitting 10/25/150/130 English          Spanish Disclosure
Vision Plus with Contacts 15/25/150/120 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
Vision Standard Voluntary 10/25/130 English          Spanish Disclosure
Vision Standard Voluntary 15/25/120 English          Spanish Disclosure

Contact Us

  • Producer Services (800) 559-5905

    Employer Services (800) 325-5166

  • Blue Shield of California

    PO Box 272540

    Chico, CA 95927-2540

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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.