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BUSINESS SERVICES CORPORATION D/B/A BENEFIT CHOICES 2024Anthem BLUE CROSS - BLUE VIEW VISION PLANAnthem Group 720423Monthly PremiumTier$6.86IndividualRates are effective$13.72Employee/Spousefrom 1/1/2024 to 12/31/2025$14.06Parent/Child(ren)$20.92FamilyNo Change in Rate from 2023!SERVICESDETAILIN NETWORKOUT OF NETWORKExamination1 every 12 months$10 copay, then covered in fullNot ApplicableEyeglass FramesA person may select an eyeglass frame and receive an allowance toward the purchase price, once every 12 months.$130 allowance, then 20% off remaining balanceUp to $45 allowanceEyeglass Lenses (Standard)Receive 1 pair of any one type of lenses, once every 12 months: standard plastic single vision lenses, standard plastic bifocal lenses, or standard plastic trifocal lenses.Single, Bifocal or Trifocal: Covered In Full After Copayment Single Vision - up to $25 allowance; Bifocal Lenses - up to $40 allowance; Trifocal Lenses - up to $55 allowance.UV Coating$15 copaymentNot available out of networkTint (Solid Gradient)$15 copaymentNot available out of networkStandard Polycarbonate$40 copaymentNot available out of networkTransition Lenses for Adults$75 copaymentNot available out of networkStandard Antireflective Coating$45 copaymentNot available out of networkPremium Tier 1 Antireflective Coating$57 CopaymentNot available out of networkPremium Tier 2 Antireflective Coating$68 copaymentNot available out of networkOther Add-Ons and Services20% off retail priceNot available out of networkProgressive LensesStandard Progressive$65.00Not ApplicablePremium Tier 1$85.00Not ApplicablePremium Tier 2$95.00Not ApplicablePremium Tier 3$110.00Not ApplicableContact LensesA person choosing contact lenses will receive an allowance toward cost of a supply of those lenses, once every 12 months. Allowance must be used at the time of initial service. No amount over the allowance may be carried forward to subsequent materials in the same or following benefit year.Elective Conventional Lenses$130 allowance, then 15% off remaining balanceUp to $105 allowanceElective Disposable Lenses$130 allowance (no additional discount)Up to $105 allowanceNon-elective Contact LensesCovered in full.Up to $210 allowanceDependant Age LimitsCHILD TO 26; STUDENT TO 26.