RETIRED OPTICAL BENEFITS
The Superior Officers Council Retiree Health and Welfare Fund provides an annual optical benefit to retired members and their eligible dependents. Our provider, Visionworks/Davis Vision, is a leading national administrator of quality vision care programs.
Benefits provided by Vision Works/Davis Vision are an In-Network only plan and are subject to applicable co-payments. With Davis Vision you have access to licensed providers in both private practice and retail locations who are extensively reviewed and credentialed to ensure stringent standards for quality and service is maintained
The Davis Vision Program features an in-network benefit that offers the opportunity to obtain services for an eye examination with dilation, as professionally indicated, as well as obtain eyeglasses or contact lenses at fixed copayments.
- Eye Examination – (including dilation as professionally indicated) is covered at a participating network provider.
- No Copayments for an In-Network Provider:
- $0 for exam
- $0 for glasses
- No Copayments for an In-Network Provider:
- Spectacle Lenses (one pair) – including single vision, bifocal, or trifocal lenses, in any prescription range with no copayment.
- Frames – you may choose any Fashion, Designer or Premier level frame from the Visionworks/Davis Vision collection, covered in full. Or, if you select another frame in the network provider's office a $125+20% credit will be applied.
- Contact Lenses (in lieu of eyeglasses) – Every 12 months you may select contact lenses. Any contact lenses from Davis Vision's Contact Lens Collection will be covered in full per the number indicated below, your evaluation, fitting and follow up care will also be covered. The plan covers most popular types of contact lenses including standard, soft, daily-wear (available with no co-payment Contact Lens Collection (includes evaluation, fitting and follow up).
- In lieu of the Davis Vision contact lenses, members may use their $125+15% credit toward the provider’s own supply of contact lenses, evaluation, fitting and follow-up care. This credit also may apply toward contact lenses received at participating retail locations.
NOTE: Most people can wear contact lenses; however, once contact lenses are provided, they may not be exchanged for eyeglasses. Routine eye examinations may not include professional service for contact lens evaluation. Any applicable fees are the responsibility of the patient.
CLICK HERE TO SEE OPTICAL FEE SCHEDULE.
2/ The Davis Vision Collection is available at most participating independent provider locations. Collection is subject to change. Collection is inclusive of select toric and multifocal contacts.
3/ For dependent children, monocular patients and patients with prescriptions of +/- 6.00 diopters or greater.
4/Transitions® is a registered trademark of Transitions Optical Inc.
Please note: Your provider reserves the right to not dispense materials until all applicable member costs, fees and copayments have been collected. Contact lenses: Routine eye examinations do not include professional services for contact lens evaluations. Any applicable fees above the evaluation and fitting allowance are the responsibility of the member. If contact lenses are selected and fitted, they may not be exchanged for eyeglasses. Progressive lenses: If you are unable to adapt to progressive addition lenses you have purchased, conventional bifocals will be supplied at no additional cost; however, your copayment is nonrefundable. May not be combined with other discounts or offers. Please be advised these lens options and copayments apply to in-network benefits.
The following items are not covered by the Visionworks/Davis Vision Program:
- Medical treatment of eye disease or injury
- Vision therapy
- Special Lens designs or coatings, other than those previously described
- Replacement of lost eye wear
- Non-prescription (plano) lenses
- Two pair of eyeglasses in lieu of bifocals
- Contact lenses and eyeglasses in the same benefit cycle
- Services not performed by licensed personnel
To access a listing of participating Visionworks/Davis Vision providers, you can visit either www.visionworks.com or www.davisvision.com. Members can call (800) 999-5431 or (800) 669-1183 and enter the SOC Client Control Number 2162-NY-Retirees,2164 Non-NY Retirees, the last four digits of the member’s Social Security number, and the first five characters of the member’s last name as the password. If the member’s last name is less than five characters, use the full last name only as the password.
HOW TO SCHEDULE AN APPOINTMENT
1. Call the network provider of your choice and schedule an appointment.
2. Identify yourself as a Visionworks/Davis Vision and Superior Officers Council member or dependent.
3. Provide the office with your Tax Registry Number or the last four digits of the member’s Social Security number and the name and date of birth of any covered dependent needing services.