Preventive Vision

Adult Vision

Our plans include routine adult vision coverage using the Physicians Eyecare Network (PEN). For adult vision care (ages 20 and over), this includes:

$0 copayment for one routine eye exam or one exam for contact lenses per benefit period.
$45 copayment for one standard contact lens fitting per benefit period.
$0 copayment for one pair of eyewear from a designated selection every other benefit period.

Outside the South Carolina service area, we will allow $71 toward the routine eye exam, and we will apply a $120 credit to the purchase of eyewear. The member must file these claims.

Pediatric Vision*

We offer pediatric vision on all our plans through Physicians EyeCare Network (PEN). PEN is an independent company that offers a vision network on behalf of BlueChoice HealthPlan.

For children (ages 0–18), this includes:

$25 copayment for one comprehensive vision exam every benefit year
$50 copayment for one pair of glasses (lenses and frames) per benefit year
Single vision, lined bifocal, lined trifocal or lenticular lenses covered in full (after materials copayment)
A standard selection of frames are covered in full (after materials copayment)

In lieu of eyeglasses, elective contact lens services and materials are covered with a minimum three months’ supply for any of these options:

Standard (one pair annually)
Biweekly (three-month supply)
Monthly (six-month supply)
Dailies (three-month supply)

Necessary contact lenses are covered in full for members who have specific conditions for which contact lenses provide better visual correction

*For dependent children through the age of 18. Adult vision care begins on the first day of the month following their 19th birthday.