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.

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
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

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