Blue 2020 plus member fact sheet

B LUE 20/20 PLUS great coverage with eye-opening savings Save an average of 86% on vision care * Get great savings with Blue 20/20 PLUS when you use a PLUS Provider. These providers are already part of our Blue 20/20 provider networks. On top of your Blue 20/20 base plan, you’ll enjoy these enhanced benefits:    $0 EXAM COPAY ADDITIONAL $50 FRAME ALLOWANCE, MORE FLEXIBILITY AND CHOICE WITH NO BRAND RESTRICTIONS WHEN SELECTING VISION CARE You Still Get Blue 20/20 Benefits, Including: ADDITIONAL SAVINGS DIGITAL RESOURCES Save on your second pair of glasses, Blue 20/20 member portal, non-prescription sunglasses, laser vision digital ID card, online vision test, correction, eye care supplies, and more and out-of-pocket-cost estimator tool You don’t need promotional codes or coupons to get these discounts. * Blue 20/20 is administered by EyeMed Vision Care®´, an independent vision benefits company. Providers are part of the EyeMed vision network. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. (continued)

SEE WHAT GREAT SAVINGS LOOK LIKE With Blue 20/20 PLUS VISION CARE SERVICE AVERAGE RETAIL COST AVERAGE IN-NETWORK AVERAGE PLUS PROVIDER COST PROVIDER COST Eye exam $162 $10 $0 Lenses $153 $50 $50 Frames $206 $206 $206 Frames allowance N/A -$130 -$180 Frames discount (additional 20% off N/A -$15 -$5 frames balance) YOUR COST $521 $121 $71 * Example for illustrative purposes only. Based on weighted average of sample transactions. Actual savings will depend on benefits, as well as frame selection. Retail cost based on industry averages. Some provisions, benefits, exclusions, or limitations listed herein may vary by state. Discounts are not insurance. EASY ACCESS TO THOUSANDS OF PLUS PROVIDERS Blue 20/20 PLUS has thousands of nationwide NATIONAL RETAILERS ONLINE SHOPPING OPTIONS LensCrafters®´ Lenscrafters.com independent, retail, and online provider locations. • • ®´ Target Optical Targetoptical.com • • Use our provider locator tool to find a location SM Pearle Vision Glasses.com convenient for you — just look for “PLUS Provider.” • • Find a PLUS Provider Sign in or create an account at blue2020ma.com and click Find an Eye Doctor. Blue Cross Blue Shield of Massachusetts complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, or gender identity. ATTENTION: If you don’t speak English, language assistance services, free of charge, are available to you. Call Member Service at the number on your ID card (TTY: 711). ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia con el idioma. Llame al número de Servicio al Cliente que figura en su tarjeta de identificación (TTY: 711). ATENÇÃO: Se fala português, são-lhe disponibilizados gratuitamente serviços de assistência de idiomas. Telefone para os Serviços aos Membros, através do número no seu cartão ID (TTY: 711). ® Registered Marks of the Blue Cross and Blue Shield Association. ®´ Registered Marks and SM Service Marks are the property of their respective owners. © 2023 Blue Cross and Blue Shield of Massachusetts, Inc., or Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. 001918501 (2/23)