BlueExtras Discount Program from BlueCross BlueShield & HMO Illinois

Davis Vision, a leading national provider of routine vision care programs, manages the vision care discount program included with the BlueCross BlueShield PPOs and HMO Illinois. Save on eyeglasses and receive discounts on contact lenses, eye exams and accessories with Davis Vision.

Eye Examination

  • HMO Illinois members pay a $25 copay for one exam every 12 months which includes an eye examination and a same-day contact lens evaluation and fitting
  • BlueCross BlueShield of Illinois PPO members receive a 15% discount for comprehensive exams and contact lens examinations

Frames

  • Members are responsible for $40 plus 10% off the retail amount over $70

Spectacle Lenses (uncoated plastic)

  • Single Vision; $35
  • Bifocal; $55
  • Trifocal; $65
  • Lenticular; $110

Spectacle Lens Options (add to lens prices)

  • Standard Progressive; $60-$75
  • Premium Progressive; $110-$125
  • Glass Lenses; $18
  • Polycarbonate Lenses; $30
  • Blended Invisible Bifocals; $20
  • Intermediate Vision Lenses; $30
  • Photogrey Extra Lenses; $35
  • Scratch-Resistant Coating; $15
  • Anti-Reflective Coating; $45
  • Ultraviolet Coating; $15
  • Solid Tint; $10
  • Gradient Tint; $12
  • Hi-Index Lenses; $55
  • Plastic Photosensitive Lenses; $65
  • Polarized Lenses; $75

Contact Lenses

  • 20% off usual and customary price for conventional lenses
  • 10% off usual and customary price for disposable/planned replacement lenses
  • Additional discounts available through Davis Vision’s Lens 1 2 3 Mail Order Contact Lens Replacement Program at (800) LENS-123 ((800) 536-7123) or www.lens123.com.

Laser Vision

  • Discounts available through the TLC/TruVision network
  • Additional information available by calling (866) 484-2020

Exclusions

  • Medical treatment of eye disease or injury
  • Vision therapy
  • Special lens designs or coatings, other than those listed in the fee schedule
  • Services performed by a provider who is not in the Davis Vision network
  • Replacement of lost eyewear

Services not performed by licensed personnel