$75 Vision Program 2025

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The Independence Blue Cross $75 Vision Program, managed by Davis Vision, provides members with comprehensive vision benefits including routine eye exams, eyeglasses, and contact lenses. Members can maximize their benefits by using participating providers and selecting frames from the Davis Collection for paid-in-full options. The program includes various coverage details, discounts on additional lens options, a one-year warranty on eyewear, and a convenient process for obtaining services without claim forms. For non-participating providers, members can receive reimbursement but may incur higher out-of-pocket costs.

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Click ‘Get Form’ to open the $75 Vision Program document in the editor.
Begin by filling out your personal information at the top of the form, including your name, address, and member ID. This ensures that your benefits are accurately applied.
Next, navigate to the section detailing eye exams. Indicate whether you will be using a participating provider or a non-participating provider by checking the appropriate box.
In the eyeglasses section, select your frame option. You can choose from either the Davis Collection of Frames for full coverage or specify another frame if opting for a different selection.
If applicable, fill in any additional lens options you wish to include. Ensure you review any costs associated with these selections.
Finally, review all entered information for accuracy before submitting your form through our platform for processing.

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