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Your vision is important to your health. Whether it's 20/20 or less than perfect vision, everyone needs to receive regular vision care. The Vision Care Program is being offered as a part of our commitment to your well being. All eligible employees, either permanent full-time or part-time, are automatically enrolled in the vision plan. The benefit is administered by Spectera/United Optical.

 

Your Eligibility

 

You and your eligible dependents may begin using the Vision Plan the first day of the month after a month of completed service.

Eligible dependent children are covered to the end of the year in which they reach age 19, age 25 if they are full-time students, or if they are disabled; (as defined and approved by BCPSS). Full-time student verification must be submitted annually during Open Enrollment.

If you want coverage for your dependents, you must complete a "Benefits Selection Form" to enroll them in the vision plan.

 

Your Benefits

You and your eligible dependent(s) may receive a vision exam and one pair of prescription eyeglasses or one pair prescription contact lenses once every two years (from the last date of service). You should contact any Network Provider Directly or Spectera at (443) 316-2199 to verify that you or your dependents are eligible for service prior to scheduling services. You must identify yourself as a Spectera member when making your appointment. You are no longer required to use a Vision Care Voucher.

 

Fee Schedule

Eye Examination

 

$25

Single Vision Lenses

 

$20

Bifocal Lenses

 

$33

Trifocal Lenses

 

$47

Progressive Lenses

 

$40

Frames

 

$25

Network Providers:

Please check with your provider or Spectera to determine participation in the vision care.

Full Assignment Providers:
Full assignment providers will accept the BCPS fee schedule as payment in full and will not balance bill the member beyond the maximum allowed amount when receiving a covered service.

To locate a Full Assignment Provider, please click here.

Partial Assignment Providers:
Partial assignment providers will accept the BCPS fee schedule as a partial payment, and will bill the member for the difference between the maximum allowed amount and the total (charge for each service rendered).

To locate a Partial Assignment Provider, please click here. ** Please note that there are several methods to search for providers, however, you must use the option that request your social security number and your date of birth in order to receive the correct listing for providers in your area.

Non-Network Providers:
When visiting a non-network provider, you will be reimbursed up to the fee schedule. You must submit your original, itemized receipts with your social security number, patient's name and date of birth to:

 

Spectera Claims Department
PO Box 30978
Salt Lake City, UT 84130
Fax: 248-733-6060

 

 

Customer Service Center

To answer any questions you may have regarding your benefits, Spectera’s customer service representative are available Monday through Friday, 8:00 a.m. to 11:00 p.m. and Saturday 9:00 a.m. to 5:30 p.m., Eastern Standard Time at (443) 316-2199.

 

Important to Remember

 

 

Always identify yourself as a Spectera member when making your appointment. This will assist your provider in obtaining a claim authorization prior to your visit.

Receipts for services and materials purchased on different dates must be submitted at the same time to receive reimbursement.

Benefits available every 24 months based on last date of service.

 

Limitations & Exclusions

The following services and materials are excluded from coverage under the Policy:

1. Post-cataract lenses;
2. Non-prescription items:
3. Medical or surgical treatment for eye disease, which requiresthe services of a physician.
4. Worker's Compensation services or materials;
5. Services or materials which the patient, without cost, obtains from any governmental organization or program;
6. Services or materials which are not specifically covered by the Policy;
7. Sunglasses, plain or prescription;
8. Replacement or repair of lenses and/or frame which have been lost or broken;
9. Cosmetic extras, except as stated in the Table of Benefits.

Please note, If there are differences in this Web site and the Group (Contract and/or Policy), the Group Contract and/or Policy is the governing document.

 

 

Privacy Notice: Unless otherwise specified, all information in this Web site refers to Spectera, Inc.
However, prepaid vision-only coverage is provided within each state by the companies stated in the Regulatory Information by State.
© 2005 Spectera Inc. All rights reserved.