HealthyBlue 2.0/HealthyBlue Advantage Member ... - CareFirst

Additional BenefitsDental BenefitsYour benefits may include dental coverage. Detailsabout your dental coverage are located in yourEvidence of Coverage/Agreement.If you have dental benefits, you may have accessto the following services:➤ Preventive care➤ X-rays➤ Fillings and restorative services➤ Oral surgery and periodontal care➤ Emergency careYour dental coverage may also include orthodontia.For information on dental coverage, pleasecall the Member Services or the Dental MemberServices number on your member ID card.Vision BenefitsBlueVision and BlueVision PlusCareFirst BlueChoice is pleased to offer BlueVisionand BlueVision Plus to meet your vision needs.These vision plans are administered by DavisVision, Inc., a national provider of vision careservices.Your coverage includes benefits for visioncare under BlueVision or BlueVision Plus. Pleasereview your Evidence of Coverage/Agreement todetermine which vision plan you have.BlueVision PlusBlueVision Plus provides an extended benefit thatincludes an eye examination (including dilation)and coverage for eyeglasses or contact lenses onceper benefit period. Eyeglass frames are coveredin full when you choose from the Davis VisionCollection of approximately 400 frames or you canreceive an allowance toward any other frame.You can also receive full coverage for contactlenses in lieu of eyeglasses if collection contactlenses are dispensed or you can receive anallowance towards other contact lenses. Thechoice is yours! Additionally, Davis Vision offersdiscounts on laser vision correction surgery,additional lens treatments and coatings. Refer toyour Evidence of Coverage/Agreement to find outwhat benefits you have under your plan.With BlueVision Plus you may receive servicesfrom out-of-network providers in addition to In-Network providers, although you will receive thegreatest value and maximize your benefit dollarsif you select a provider who participates in thenetwork.BlueVisionBlueVision provides a routine vision examination(including dilation) once per benefit period for a$10 copay when you visit a participating DavisVision provider. Through Davis Vision, you alsoreceive discounts on eyeglass lenses and framesor contact lenses, as well as laser vision correctionsurgery. Refer to your Evidence of Coverage/Agreement to find out what benefits you haveunder your plan.20 HealthyBlue Member Handbook