Vision Benefits

Overview

The Fund provides vision care benefits for you and your family through an arrangement with National Vision Administrators (NVA). You can visit any vision care provider you wish; however, you receive discounted services and more coverage when you use NVA providers.

Get an annual eye exam from an NVA provider free of charge.

The NVA benefit provides:

• Discounted fees on exams, lenses, and frames
• One annual eye exam covered in full

If a non-NVA provider performs your eye exam, the exam is covered up to $30. All other vision services and supplies are reimbursable through your Health Reimbursement Arrangement (HRA).

View NVA’s pricing schedule for lens options.

To locate a participating NVA provider refer to the directory provided by NVA, call 1-800-672-7723 or visit www.e-nva.com.

How the Vision Benefit Works

You can seek care from any vision provider you choose. If you elect to receive services from an NVA provider, you should:

• Inform him/her that you are covered for benefits through this program when you call to make an appointment.
• Be sure to show your ID card to the provider at the time of your appointment.

If you elect to receive services from a provider who does not participate in the NVA network, you should still present your NVA ID card. You will be entitled to benefits through the program; however, you will have to file a claim through your HRA to be reimbursed for the services. You may also be responsible for the difference between the amount applicable under the NVA plan and the amount actually charged for the service and/or supply.

If you are not eligible for benefits at the time you receive services from the non-NVA vision care provider, or in the event that the desired service is not covered under the Plan, you must contact the Fund’s Administrative Office for additional information regarding the adverse benefit decision.

• More about the Notice of the Adverse Benefit Determination

  The Fund’s Administrative Office will provide you with a “Notice of the Adverse Benefit Determination,” in writing, that contains the following:

  • The specific reasons for the adverse benefit determination;
  • The specific reference to the Plan and/or Summary Plan Description provisions on which the adverse benefit determination was based;
  • A description of any additional materials or information necessary for you to perfect your claim and an explanation of why such material or information is necessary;
  • The notice of any internal guidelines or protocols used in making the decision, if applicable, and your right to receive a copy;
  • A notice of your right to a written explanation of any exclusion which affects your claim; and
  • A description of the Plan’s appeals procedure.