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Vision Care |
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Eligibility
Eligible Members and their registered*
dependents are entitled to the Vision Care benefit.
*Spouse
of an Insured Person, and unmarried dependent children to age
21, unless the dependent child is attending a recognized school,
college or university on a full-time basis, in which case the
maximum age will be 25. A child is not a dependent if he/she is
eligible for or entitled to benefits under this
Plan as a Member.
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Covered Expenses
The following expenses shall be eligible for
reimbursement:
- Single vision, bifocal or trifocal lenses,
prescribed by a person legally qualified to make such prescription;
- Frames required when glasses are first
prescribed or required to accommodate new lenses if existing frames are not
serviceable;
- Contact lenses prescribed by a person legally
qualified to make such prescription.
- For Members only, Laser Eye Surgery will be reimbursed in
installments of up to $300.00 every 24 consecutive months, up
to a maximum of $1,200.00
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Exclusions
The cost of the following items are excluded
from this Plan:
- Safety goggles, sun glasses (plain or
prescription).
- Replacement of lost, stolen or broken lenses
or frames.
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Payment of Expenses
The maximum amount payable during any period of
24 consecutive months shall be 90% of the actual expense incurred or $300.00
whichever is the lesser for an eligible adult. A maximum amount of $200.00
payable during any period of 12 months for an eligible dependent to age 19.
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Instructions
Submit eligible claims within 90 days of
incurring expense. Please follow directions outlined on the reverse side of the
Extended
Health Care Benefit claim form which is available on this
web site or through the Administration Office or the Plan
website.
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