Vision Benefits
  The Vision plan is provided by the Trust to accompany the Trust Medical plan.  If you select an HMO, your benefits will be provided by that plan.
 
  Maximums
  There is a calendar year maximum benefit payment of $150 per covered person.
 
  Benefit Reimbursement
  Covered services are paid at 80% of reasonable and customary charges.
 
  Covered Charges
 

The charges for material and/or service must be performed by a legally qualified Ophthalmologist (M.D.) or Optometrist (O.D.). The following are considered Covered Vision Charges:

  • Routine Eye Examination
  • Lenses for Eyeglasses
  • Contact Lenses
  • Eyeglass Frames
 
  Vision Plan Limitations and Exclusions
 

No benefits are payable under the vision plan for:

  • Special procedures such as: orthoptics, vision training, subnormal vision aids, warranties, cleaning solutions, and cleaning kits.
  • Treatment of medical conditions of the eye such as cataracts, retinopathy, etc. (covered by the medical portion of your plan).
  Claim Appeals
  Click here for information on appealing a claim.
 
  All information provided on this web site is in summary and intended to provide highlights of your plans. We strongly recommend referring to the Plan booklet for complete details before making any decisions related to your eligibility, benefits and coverage.