This page below gives you immediate access to the California group health insurance plan descriptions and
forms you will need to help employers and their staff get the information that is easy to understand and use.
VISION PLANS
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Group Medical Carriers (CA):
 Aetna  |  Anthem Blue Cross  |  Blue Shield  |  California Choice  |  Health Net  |  HSA California  |  Kaiser  |  Kaiser Choice Solution  | PacifiCare  |  Sharp  |  UHC  |  Western Health Advantage
Dental Carriers (CA):
 Aetna  |  Blue Cross  |  Blue Shield  |  New Dental Choice  |  PacifiCare  |  UHC
Disability Carriers (CA):
 American Fidelity  |  The Hartford  |  The Standard  |  Unum
HSA Administration (CA):
 First Horizon  |  Health Equity  |  HSA Bank  |  Sterling HSA
Life Carriers (CA):
 Aetna  |  American Fidelity  |  Anthem Blue Cross  |  Blue Shield  |  The Hartford  |  The Standard  |  UHC  |  Unum
Specialty Products (CA):
 Ceridian  |  coPower  |  Satori
Supplemental & Voluntary (CA):
 Aflac  |  American Fidelity  |  Colonial
Vision Carriers (CA):
 Aetna  |  Anthem Blue Cross  |  Blue Shield  |  UHC  |  VSP
Wellness At Work (CA):
 My Wellchoice+
Vision Rate Guide Provider Networks
Company
Name of Plan
Deductible
Frame Allowance
Aetna
 Vision

Vision Carriers.....   Aetna  |  Anthem Blue Cross  |  Blue Shield  |  UHC  |  VSP
Vision Applications & Forms Vision Rate Guide Provider Networks
Company
Name of Plan
Deductible
Frame Allowance
Anthem
Blue Cross
 Blue View...   English - Spanish in-network - $25 /
out-of-network - reimburse up to $49 		in-network- up to $125 /
out-of-network - reimburse up to $50
Anthem
Blue Cross
Blue View Plus...   English - Spanish
 in-network - $15 /
out-of-network - reimburse up to $49
 in-network- up to $125 /
out-of-network - reimburse up to $50
Vision Carriers.....   Aetna  |  Anthem Blue Cross  |  Blue Shield  |  UHC  |  VSP
Vision Rate Guide Provider Networks
Company
Name of Plan
Deductible
Frame Allowance
Blue Shield
 Vision Basic 0-100...   English - Spanish
$0
 in-network- up to $75 /
out-of-network - $40
Blue Shield
 Vision Basic 0-130...   English - Spanish
$0
 in-network- up to $130 /
out-of-network - $40
Blue Shield
 Vision Basic 10-75...   English - Spanish
$10
 in-network- up to $75 /
out-of-network - $40
Blue Shield
 Vision Basic 10-130...   English - Spanish
$10
 in-network- up to $130 /
out-of-network - $40
Blue Shield
 Vision Standard 0-75...   English - Spanish
$0
 in-network- up to $75 /
out-of-network - $40
Blue Shield
 Vision Standard 0-100...   English - Spanish
$0
 in-network- up to $100 /
out-of-network - $40
Blue Shield
 Vision Standard 0-130...   English - Spanish
$0
 in-network- up to $130 /
out-of-network - $40
Blue Shield
 Vision Standard 10-75...   English - Spanish
$10
 in-network- up to $75 /
out-of-network - $40
Blue Shield
 Vision Standard 10-130...   English - Spanish
$10
 in-network- up to $130 /
out-of-network - $40
Blue Shield
 Vision Standard 25-75...   English - Spanish
$25
 in-network- up to $75 /
out-of-network - $40
Blue Shield
 Vision Plus 0-75...   English - Spanish
$0
 in-network- up to $75 /
out-of-network - $40
Blue Shield
 Vision Plus 0-100...   English - Spanish
$0
 in-network- up to $100 /
out-of-network - $40
Blue Shield
 Vision Plus 0-130...   English - Spanish
$0
 in-network- up to $130 /
out-of-network - $40
Blue Shield
 Vision Plus 10-75...   English - Spanish
$10
 in-network- up to $75 /
out-of-network - $40
Blue Shield
 Vision Plus 10-100...   English - Spanish
$10
 in-network- up to $100 /
out-of-network - $40
Blue Shield
 Vision Plus 10-130...   English - Spanish
$10
 in-network- up to $130 /
out-of-network - $40
Blue Shield
 Vision Deluxe 0-100...   English - Spanish
$0
 in-network- up to $100 /
out-of-network - $40
Blue Shield
 Vision Deluxe 0-130...   English - Spanish
$0
 in-network- up to $130 /
out-of-network - $40
Blue Shield
 Vision Deluxe 10-100...   English - Spanish
$10
 in-network- up to $100 /
out-of-network - $40
Blue Shield
Vision Deluxe 10-130...   English - Spanish
$10
in-network- up to $130 /
out-of-network - $40
Vision Carriers.....   Aetna  |  Anthem Blue Cross  |  Blue Shield  |  UHC  |  VSP
Vision Rate Guide N/A Provider Networks
Company
VISION - Name of Plan
Deductible
Frame Allowance
UHC
 Spectera Plan 1
$10
 in-network- up to $150 /
out-of-network - $45
UHC
 Spectera Plan 2
$10
 in-network- up to $150 /
out-of-network - $45
UHC
 Spectera Plan 3
$10
 in-network- up to $150 /
out-of-network - $45
UHC
 Spectera Plan 4
$10

 in-network- up to $150 /
out-of-network - $45
Vision Carriers.....   Aetna  |  Anthem Blue Cross  |  Blue Shield  |  UHC  |  VSP
Vision Applications & Forms
 Vision Rate Guide N/A Provider Networks
Company
VISION - Name of Plan
Deductible
Frame Allowance
VSP Vision Plan Benefits
$15 Exams / $25 Prescription Glasses /
Contacts na
in-network- up to $120 + 20% off any out-of-pocket costs.
VSP
 Vision Policy    
Group Medical Carriers (CA):
 Aetna  |  Anthem Blue Cross  |  Blue Shield  |  California Choice  |  Health Net  |  HSA California  |  Kaiser  |  Kaiser Choice Solution  | PacifiCare  |  Sharp  |  UHC  |  Western Health Advantage
Dental Carriers (CA):
 Aetna  |  Blue Cross  |  Blue Shield  |  New Dental Choice  |  PacifiCare  |  UHC
Disability Carriers (CA):
 American Fidelity  |  The Hartford  |  The Standard  |  Unum
HSA Administration (CA):
 First Horizon  |  Health Equity  |  HSA Bank  |  Sterling HSA
Life Carriers (CA):
 Aetna  |  American Fidelity  |  Anthem Blue Cross  |  Blue Shield  |  The Hartford  |  The Standard  |  UHC  |  Unum
Specialty Products (CA):
 Ceridian  |  coPower  |  Satori
Supplemental & Voluntary (CA):
 Aflac  |  American Fidelity  |  Colonial
Vision Carriers (CA):
 Aetna  |  Anthem Blue Cross  |  Blue Shield  |  UHC  |  VSP
Wellness At Work (CA):
 My Wellchoice+
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