Vision Benefits

BlueShield of Northeastern New York offers vision benefits to make sure you are seeing and looking your best. Check out the details below.

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*These benefits are not an all-inclusive list of vision services. If you are enrolled in a standard or non-standard small group or individual plan, the benefits in the Discount and Affinity Discount programs are for adults only and vary by plan. Pediatric vision benefits are separate. Additional benefit details on these plans can be found below. 

Vision Discount Program - Standard Plans

Vision Affinity Discount Program

Please call Customer Service (800) 544-BLUE (2583) for a complete list of services and costs. 

  Discount Vision
Member Cost
Affinity Discount
Member Cost
HMO 100 Plus
Member Cost
HMO 200 Plus
Member Cost
Comprehensive Vision Member Cost
Exam 15% off* Copay applies Copay applies Copay applies Copay applies
Frames 35% off*   up to 20% discount depending on provider    
Up to $70 retail   $40   Fashion Frame - $20
Designer Frame - $35
Premiere Frame - $45
Fashion Frame - $0
Designer Frame - $0
Premiere Frame - $25 
Above $70 retail   $40 copay plus 10% off amount   Fashion Frame - $20
Designer Frame - $35
Premiere Frame - $45
Fashion Frame - $0
Designer Frame - $0
Premiere Frame - $25 
Single Vision Plastic Lenses $45  $35 $0 $0 $0
Disposable Contact Lenses  15% off* 10% discount off retail, formulary does not apply Balance over $40 $60 copay for 2 boxes, formulary does not apply $0 copay on formulary lenses; $105 elective contact lens allowance on non-formulary lenses
Laser Vision Correction  25% off* or 5% off promotional price, whichever is lowest Up to 25% off* or 5% off promotional price whichever is lowest Up to 25% off* or 5% off promotional price whichever is lowest  Not covered  Up to 25% off* or 5% off promotional price whichever is lowest
**Call the Customer Service phone number on the back of your card for a complete list of covered Vision benefits

*Discount is off provider's usual and customary fees

Out-of-network is not covered

*Discount is off provider's usual and customary fees

Out-of-network is not covered

 *Discount is off provider's usual and customary fees

Out-of-network is not covered

*Discount is off provider's usual and customary fees

Out-of-network is not covered

*Discount is off provider's usual and customary fees

*Call customer service for additional out-of-network benefits

 

Included on all Standard Plans for adult members:

Platinum Standard
Gold Standard
Silver Standard
Bronze Standard
Healthy New York (Small group only)

Included on all Non-Standard plans upon renewal in 2017 (adult members only)

Excluded on all Standard Plans upon renewal in 2017 (adult members only)

Available to large groups

Select large groups only Select large groups only Available to large groups only

Note: Large group plans include coverage for pediatric and adult members