Vision Plan
Benefits for vision are available to you and your eligible dependents once per fiscal year. For members, spouse and dependents the Plan will pay $400 each year towards glasses, contacts and or exam.
NOTE: SUNGLASSES ARE NOT COVERED UNLESS THEY ARE PRESCRIPTION
LASIK: Once per Lifetime for Active Member and Spouse or 1 Dependent - $2,500 per eye
Should a member require eyeglasses or contact lenses after having Lasik surgical procedure, a letter of medical necessity must be provided from your Doctor.
An annual eye exam will be covered for those members who have had a Lasik procedure performed. The allowance for an eye exam will be $50.00.
Note: Retired members are not covered for Lasik treatment.
COVERED SERVICES
Eye Examination - check of principal visual functions, ability and condition of vision. If a medical diagnosis is present the claim should be filed with your medical carrier.
GLASSES ARE COVERED IF A VISUAL DEFICIENCY EXISTS.
EXAMINATIONS & GLASSES
The Plan will allow a maximum benefit per individual to be used for an eye examination and glasses or contacts. PLEASE SEE THE BENEFITS SUMMARY FOR THE CURRENT
MAXIMUM AMOUNT.
The Plan will only pay amounts up to the actual charge and is not responsible for charges in excess of the schedule.
Eye examinations and glasses are covered - ONCE PER INDIVIDUAL PER PLAN YEAR. The
Plan will pay for glasses or contacts but not both. Please remember that the Vision Program may be used only once in the plan year, so members using disposable contact lenses are advised to utilize the maximum benefit by purchasing the full amount of lenses at one time, or accumulating the expenses until you have reached the maximum benefit before filing for reimbursement.
LASIK: Once per Lifetime for Active Member and Spouse or 1 Dependent - $2,500 per eye
This benefit is not covered for Retirees and their dependents
Should a member require eyeglasses or contact lenses after having Lasik surgical procedure, a letter of medical necessity must be provided from your Doctor.
An annual eye exam will be covered for those members who have had a Lasik procedure performed. The allowance for an eye exam will be $50.00.
HOW TO RECEIVE THE VISION ALLOWANCE
1. Vision claim forms can be obtained from the Trustees or Preferred Group Plans.
2. Complete all sections of the form that relate to member information. Have the doctor complete his/her portion of the form. Send this form to our claims administrator.
Preferred Group Plans
P.O. Box 15136
Albany, NY 12212-5136
(800) 573-7474
FAX: (518) 641-0325
VISION - PARTICIPATING PROVIDER PROGRAM
The plan offers the services of a group of participating optometrists. By using one of these doctors you and your eligible dependents will be able to receive a vision examination and glasses with no out-of-pocket expense. The program offers a selection of frames and lenses from which you may choose. If you decide NOT to use frames or lenses offered through the program, YOU WILL HAVE TO PAY THE OPTOMETRIST’S CHARGE FOR THE FRAMES AND LENSES YOU CHOOSE.
Should you wish to receive services from a Participating Provider, please contact one of the vision providers listed on this page.
