Vision PLan

All Points Benefits (APB) Vision


LAPRA members who enroll in the Anthem Blue Cross Prudent Buyer PPO or the Anthem Blue Cross CaliforniaCare Plus HMO automatically receive vision coverage through Vision Service Plan (VSP). You may use any vision provider for vision care; however, when you use a VSP Choice provider, you’ll save money on exams and eyewear and there are no claim forms. VSP also offers discounts on glasses and sunglasses, contact lenses, and laser vision correction. Most services are provided every 12 months. For more information or to find a member doctor, refer to your Enrollment Guide or visit the VSP website at www.vsp.com.



Benefit Feature
Coverage from VSP Choice Network Provider Non-VSP Choice Network Reimbursement Amounts1
Eye Exam
Once every 12 months
$20 co-pay
$45 reimbursement
 Frames
Once every 12 months


Lenses
Once every 12 months
• Single vision lens
• Lined bifocal lens
• Lined trifocal lens
Plan pays up to $115 (20% discount on out-of-pocket expense above $115)




Plan pays 100%
Plan pays 100%
Plan pays 100%
$47 reimbursement








$45 reimbursement
$65 reimbursement
$85 reimbursement
Contact Lenses & Fitting Exam
Once every 12 months (in lieu of lenses and frames)
$120 allowance
$105 reimbursement


1 You must submit claim forms when you use non-VSP Choice Network providers.


This brief description of benefits is provided for your convenience and is subject to all terms, conditions, limitations and exclusions of the Vision Service Plan (VSP) contract. Please refer to your plan’s Evidence of Coverage for details on your benefits.


Vision Benefits for Kaiser HMO Members


If you enroll in the Kaiser HMO, vision care is provided through Kaiser. Vision exams are covered with a $10 co-pay. In addition, members receive a $350 allowance for medically necessary eyewear every 24 months.