Obtaining benefits

Obtaining benefits

IN-NETWORK OPTICAL BENEFITS

How to access your in-network benefits:

Every two years, you are entitled to an optical benefit. This includes an eye exam and either a pair of eyeglasses or a benefit for contact lenses.

After confirming eligibility for benefits, contact one of the 1,500+ participating providers for an appointment or just walk in. It’s as simple as that. The provider will offer you all the plan discounts available to you. You are eligible for single-vision, bifocal or trifocal lenses and a basic frame (minimum retail value of $100). A basic eye exam is free (including a refraction to determine your prescription) with an additional $20 charge if dilation is necessary. If you buy designer frames, you will receive a 10% discount and a $100 frame allowance, in addition to your $125 benefit credit (for a total discount of 10% and $225). Progressive lenses are discounted by 10%.

To receive coverage for both an eye exam and glasses or contact lenses, you will need to obtain both services at the same location. Please note: a claim for an eye exam only constitutes use of your every two-year benefit.

How do I pay for my in-network benefits?

If you are using a participating provider, there are no claim forms to file. You are covered for the benefits described above, although you may opt for additional covered features at discounted rates.

As always, GVS’s UFT-dedicated concierge phone line at (212) 729-5395 is available to support you if you have any questions.

OUT-OF-NETWORK BENEFITS

How to access your out-of-network benefits

Every two years, you are entitled to an optical benefit. This includes an eye exam and either a pair of eyeglasses or a benefit for contact lenses.

You may obtain services outside of the preferred provider network, using the provider of your choice. At these locations, you are responsible to pay for the services provided and then submit a copy of your prescription and your paid, itemized receipt for reimbursement. You will receive reimbursement of up to $125 in total (including a maximum of $20 for an eye exam).

To receive coverage for both and eye exam and glasses or contact lenses, you will need to obtain both services at the same location. Please note: a claim for an eye exam only constitutes use of your every two-year benefit.

How do I claim my out-of-network benefits?

You may submit your claim (including a paid, itemized receipt, and a copy of your prescription) on the GVS website, via the GVS app or by mail. On the GVS website or via the GVS app, you will fill out the required fields and upload supporting documents. For paper claim submissions, contact GVS’s UFT-dedicated concierge phone line at (212) 729-5395.


Source URL: https://www.uft.org/your-benefits/health-benefits/optical/obtaining-benefits