Page 38 - NAPA 2021-2022

BlueVision Plus

A plan for healthy eyes, healthy lives

Professional vision services including routine eye examinations, eyeglasses and contact
lenses offered by CareFirst BlueCross BlueShield and CareFirst BlueChoice, through the
Davis Vision, Inc. national network of providers.

How the plan works
How do I find a provider?
To find a provider, go to carefirst.com and utilize the Find a
Provider feature or call Davis Vision at 800-783-5602 for a list of
network providers closest to you. Be sure to ask your provider if
he or she participates with the Davis Vision network before you
receive care.
How do I receive care from a network provider?

Simply call your provider and schedule an appointment.
Identify yourself as a CareFirst BlueCross BlueShield or
CareFirst BlueChoice member and provide the doctor with your
identification number, as well as your date of birth. Then go to the
provider to receive your service. There are no claim forms to file.
What if I go out-of-network? Need more information?
Staying in-network gives you the best benefit, but BlueVision Plus Visit carefirst.com or call
does offer an out-of-network allowance schedule as well. In 800-783-5602.
this case, you may see any provider you wish, but you will be
responsible for all payments up-front. You will also be responsible
for filing the claim with Davis Vision for reimbursement and paying
any balances over the allowed benefit to the non-participating
provider. You can find the claim form by going to carefirst.com,
locate For Members, then click on Forms, Vision, Davis Vision.
Can I get contacts and eyeglasses in the same
benefit period?
With BlueVision Plus, the benefit covers one pair of eyeglasses or a
supply of contact lenses per benefit period.
Mail order replacement contact lenses
DavisVisionContacts.com offers members the flexibility to shop
for replacement contact lenses online after benefits are spent.
This website offers a wide array of contact lenses, easy, convenient
purchasing online and quick shipping direct to your door.

SUM1723-1P (9/17) ■ 12/12/24 – $10 Copay ■ BlueVision Plus ■ Option B