District of Columbia Vision Benefit Summaries

Benefit summaries are now available for the health plans listed below. Please check the site frequently for summary updates.

Spanish benefit summaries are available upon request. Please contact your CareFirst sales representative for more information.

NOTE: Employers can consult with a CareFirst account executive to explore other plan options that fit their organization's benefit needs.

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BlueVision is not included in ACA Small Group Medical Plans.

BlueVision Plans Features and Summaries
Options Features Vision Summary

Option 1

Core to non-ACA HealthyBlue HMO, BlueChoice HMO Open Access, BlueChoice Opt-Out Plus Open Access, BlueChoice HMO

BRC6420

Option 2

Core to non-ACA HealthyBlue 2.0, HealthyBlue Advantage, HealthyBlue Triple Option, BlueChoice Opt-Out Open Access

BRC6421

Option 3

Core to non-ACA HealthyBlue PPO, BluePreferred, BlueChoice Advantage

BRC6422
BlueVision Plus Plan Features and Summaries
Options Features Vision Summary

Option 1

$0 exam copay / 12 month benefit period

BRC6424

Option 2

$0 exam copay / 24 month benefit period

BRC6425

Option 3

$10 exam copay / 12 month benefit period

BRC6426

Option 4

$10 exam copay / 24 month benefit period

BRC6427

Option 5

$0 exam copay / 12/12/24 month benefit period

SUM6507

Option 6

$10 exam copay / 12/12/24 month benefit period

SUM6508
BlueVision Plus Increased Allowances
Options Features Vision Summary

Option A

$0 exam copay / 12/12/24 month benefit period

SUM1674

Option B

$10 exam copay / 12/12/24 month benefit period

SUM1723

Option C

$0 exam copay / 12 month benefit period

SUM1724

Option D

$10 exam copay / 12 month benefit period

SUM1725

Option E

$0 exam copay / 12/12/24 month benefit period

SUM6473

Option F

$10 exam copay / 12/12/24 month benefit period

SUM6474

Option G

$0 exam copay / 12 month benefit period

SUM6475

Option H

$10 exam copay / 12 month benefit period

SUM6476

Option I

$0 exam copay / 12/12/24 month benefit period

SUM6477

Option J

$10 exam copay / 12/12/24 month benefit period

SUM6478

Option K

$0 exam copay / 12 month benefit period

SUM6479

Option L

$10 exam copay / 12 month benefit period

SUM6480

Option M

$0 exam copay / 12/12/24 month benefit period

SUM6481

Option N

$10 exam copay / 12/12/24 month benefit period

SUM6482

Option O

$0 exam copay / 12 month benefit period

SUM6483

Option P

$10 exam copay / 12 month benefit period

SUM6484

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