The following chart lists the services and supplies covered under the vision benefit for the Trooper Chapter, Airport Police and Fire Officers Chapter, Fairbanks Police Department, Fairbanks Fire Department and Juneau Police Department members, as of July 1, 2007. Refer to your Benefit Booklet for details, general limitations and exclusions.
Plan pays
Examinations
100% of eligible charge; one routine vision examination per person each calendar year
Hardware
80% of eligible charges limited to one pair of lenses per calendar year and one set of frames each two consecutive calendar years
Contact Information
Premera Blue Cross Blue Shield of Alaska P.O. Box 91059
Seattle, WA 98111-9159
Local and toll-free: 1-800-508-4722
Hearing-impaired TTY:1-800-842-5357
