Vision Benefit

The Plan offers you and your eligible dependents vision care benefits. These benefits are not insured and are paid solely by the Plan. You will save if you use a participating vision care provider. If you are an active covered participant under the Plan, you will be able to receive a covered eye examination and eyeglasses/contacts once every 12 months; or, if you are a dependent, once every 24 months. However, the Plan will not limit the number of vision examinations for your dependents who are younger than age 19.

If you pay for any out-of-pocket vision expenses to a provider that does not participate with the Benefit Fund’s Vision Plan, you will need the Vision Benefit Direct Reimbursement Form. In order to be reimbursed, this form needs to be filled out and sent to the Fund Office, along with your original itemized paid receipt.

For a more in-depth explanation of your benefits, please refer to the full Health & Welfare Summary Plan Description.

Vision Benefit FAQs

Do I need a special form to take to my vision provider?

Yes, if you pay for any out-of-pocket vision expenses to a provider that does not participate with the Benefit Fund’s Vision Plan, you will need the Vision Benefit Direct Reimbursement Form. In order to be reimbursed, this form needs to be filled out and sent to the Fund Office, along with your original itemized paid receipt.

 

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What is my Vision benefit and who is the Insurance Carrier?

Your Vision benefits are administered by the Fund Office. All claims should be sent to 1811 Spring Garden Street, Philadelphia, PA 19130. The provider can call the Fund Office to verify your eligibility using your UBC or Social Security Number.

 

Click here for a list of the Vision Allowances.

 

Participating Providers will have a selection of glasses for you to choose from which will be at no cost to you. If you wish to choose outside that selection the difference will be your responsibility. The Fund does not pay for tinting, scratch resistant or any other additional options.

 

When visiting a non-participating provider, the Fund will still make payment but you may be responsible for the difference between the Providers’ charge and the Fund’s allowance. To avoid having to pay a balance, click here for a list of Participating Providers.

How do I find out when the last time I had an eye exam or received glasses/contacts?

Please contact the Fund Office at 215-568-0430 to find out the last time you received glasses or contacts or had an eye exam.

 

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