CareFirst Vision Plan
The vision coverage offered by Dog Tag Bakery is designed to assist you and your covered dependents by paying a portion of eligible expenses incurred for a wide range of vision services. You will need to complete the CareFirst enrollment form to have coverage.
- If you enroll for coverage within your initial eligibility period, your effective date of coverage begins on the first of the month following your date of hire.
Your Cost
Your cost for vision coverage is generally deducted from your pay on a pretax basis. Contributions for domestic partners are generally deducted on an after-tax basis, unless otherwise permitted by state or federal law. Refer to Employee Contributions for the applicable cost.
BlueVision Plus Option D |
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Key Features |
In-Network |
Out-of-Network |
Plan Pays |
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Vision Exam |
100% after $10 copay |
Up to $45 |
Contact Lens Evaluation |
100% after $20 copay |
Up to $60 |
Lenses
|
100% of Allowed Benefit after $20 copay |
Up to $52 |
Frame
|
Up to $130 |
Up to $60 |
| This summary is provided for general information only. Since exclusions, dollar/frequency limitations and prior authorization apply in many cases, you should refer to the specific plan documents for detailed information on complete plan provisions, exclusions and limitations. | ||