Vision

Healthy Blue adult and children vision benefits through VSP include:

• Preventive services for our newborn members through the month of the member’s 21st birthday:
  • Children’s preventive vision screenings:
    • Well-baby, well-child and well-teen health care checkup to detect visual impairments or eye conditions that could lead to vision loss
  • One eye exam, one pair of eyeglasses (frames and lenses) and related fitting every 12 months
  • One pair of replacement eyeglasses every 12 months

• Routine services for adult members 21 and older:
  • No copay*
  • One eye exam every 12 months
  • One pair of eyeglasses every 24 months

* A $3.30 copay will only apply for medically necessary vision services.

To learn more about medically necessary vision services, search for vision in our medical policies by selecting the Search tab and entering vision in the search field.

Healthy Blue vision prior authorization and claims submission through VSP

For provider information about VSP vision benefits, fee schedule, coverage policies, claims submissions and prior authorizations, call VSP Provider Services at 800-615-1883 Monday–Friday from 5 a.m. –8 p.m. PT, Saturday from 7 a.m. –8 p.m. PT or Sunday from 7 a.m.–7 p.m. PT.

For member information about vision benefits, claims submissions and medically necessary vision services, call the Healthy Blue Customer Care Center at 866-757-8286, Monday–Friday from 9 a.m. –6 p.m. ET