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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.
BlueVision is not included in ACA Small Group Medical Plans.
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 |
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 |
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 |