Using the Vision Care Plan





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Using the Vision Care Plan

To use the Plan, you must first contact the Fund office for a list of participating GVA providers and a claim form. Select a doctor from the list and make an appointment. Please check with the doctor of your choice when making your appointment to make certain he or she is still participating. Bring the claim form with you and sign it after your doctor completes his or her services. Claim forms must be filed by the GVA participating provider within 30 days from the date of the examination.

If you or your dependents are covered for vision benefits under any other plan, please refer to the section titled “Coordination of Benefits” to see how to submit your claims.

Vision Care Exclusions

Some vision care expenses are not covered. These include, but are not limited to:

  Special procedures, such as orthoptics, aniseikonic lenses, etc.

  Contact lenses, and related services other than the $75 allowance once every 12 months.

 
Medical or surgical treatment of the eyes.

  Vision care or materials provided by federal, state or local government.

  Services or materials covered under Workers’ Compensation.

  Sunglasses, plain or prescription.

  Services performed by a provider who does not participate with GVA.

  Replacement of lost or stolen glasses.

If you are not certain whether a service is covered under the Vision Care Plan, contact the Fund office before you seek routine vision care.