Members and eligible dependents, as defined by the Fund, are entitled to an optical benefit every calendar year.

The Fund will pay up to $80 per eligible person for specified optical services provided by any licensed optometrist, optician or physician* of your choice in accordance with the fee schedule. The fee schedule provides for a maximum allowable amount for each service, which may be claimed once in a calendar year.

*Examinations provided by a physician must first be submitted to your health carrier and a copy of payment or non-payment made must be submitted to the Fund with the claim.

If you are using a participating optical center, an optical voucher must be obtained from the Fund prior to receiving optical services. Allow a minimum of 10 days prior to your appointment for receipt of your voucher from the Fund. Submit the original voucher directly to the provider of services if you utilize a participating optical center.  

If you are using a provider of your choice, send your completed original voucher along with an itemized bill (and statement from health carrier if exam was provided by a physician) to the Fund. Photocopies (including faxes) of vouchers are not accepted by the Fund.  Reimbursement will be made to you directly.

Exclusions: Non-prescription glasses/sunglasses and VDT glasses

FUND PAYMENTS

Exam

$20

With or Without Exam, Prescription Lenses and Frames*

$80

With or Without Exam, Standard Daily Wear Contacts

$80

With or Without Exam, Standard Extended Wear Contacts

$80

Contacts, Disposable

$80

* If the patient has exhausted the exam portion of their annual optical benefit, the reimbursement will be limited to $60.