Health and Welfare Plan BenefitTabs™

  • Vision Benefits

     

  • Eligibility

    The Vision Care Benefit is available to all active and retired members and their eligible dependents.

    Effective January 1, 2015, active members only are entitled to prescription safety glasses, including lenses and frames, through the Pro-Tech Safety Plan.

     

  • Basic Benefit Description

    This benefit helps pay for annual vision examinations and for glasses and contact lenses, subject to the rules of the Plan. The Plan uses a network of opticians, optometrists, and ophthalmologists called Vision Service Plan (VSP) to provide these benefits in an efficient and cost-effective way. Reduced benefits are available when you use a provider outside the VSP network. How often you can use the benefit and your copayment are shown in the benefit schedule below.
     

  • Benefit Schedule when using a VSP Provider

    Frequency

    Your Copayment
    Eye Examinations

    once every 12 months

    $10
    Lenses

    once every 12 months

    $10 (for both lenses and frames)
    Frames

    once every 24 months
    Contacts (can be chosen instead of lenses and frames)

    12 months

    $10
     

  • Benefit Schedule when using non-VSP Provider

    Frequency

    Plan Pays (you pay entire remainder)
    Eye Exam

    once every 12 months

    up to $50
    Lenses

    once every 12 months

    up to $50/single vision
    up to $75/bifocal
    up to $100/trifocal
    Frames

    once every 24 months

    up to $70
    contact lenses (elective) - $105
     

  • Group Numbers

    Active and Retiree: #12140808.
     

  • Contact Info

    Phone Number: 1-800-877-7195