This is a partial list of services that are not covered by Blue 20/20 for Individuals. Refer to the member benefit booklet for a full list of exclusions.  

• Lost or broken lenses, frames, glasses or contact lenses
• Non-prescription lenses, contact lenses or sunglasses  
  
• Two pairs of eyeglasses in place of bifocals
• Medical and/or surgical treatment of the eye, eyes or supporting structures  
  
• Vision training, orthoptic services, aniseikonic lenses, subnormal vision aids or any associated supplemental testing   Services required by any governmental agency or program, or as a result of any workers’ compensation law or similar legislation  
• Any eye or vision examination or corrective eyewear ordered by a member’s employer, including safety eyewear 
  
•  Services or materials provided by any other group benefit plan providing vision care 
  
•  Services rendered after the last date of coverage, unless materials are ordered before the end of coverage and services are rendered within 31 days of the order  
  
• Benefit allowances provide no remaining balance for future use within the same benefit frequency  
  

For costs and further details of the coverage, including exclusions and reductions or limitations and terms under which the policy may be continued in force, see your benefit administrator. 

You may be entitled to additional discounts. Check your provider listing for more information.