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

OPTICAL BENEFITS
INCLUDED LENSES/COATINGS
EXCLUSIONS
SCHEDULE AN APPOINTMENT
USING THE BENEFIT AT DIFFERENT TIMES
OPTICAL BENEFITS

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 with the applicable copayment. 
    • Basic Copayments for an In-Network Provider:
      • $25 for exam
      • $0 for glasses
  • 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 $65 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 $45 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.

INCLUDED LENSES/COATINGS
  • Plastic or glass single vision, bifocal, or trifocal lenses
  • Glass Grey #3 prescription lenses
  • Oversize lenses
  • Post-cataract (lenticular) lenses
  • (Prescription) fashion, sun or gradient tinted plastic lenses
  • Polycarbonate lenses for dependent children, monocular patients, and patients with prescriptions +/- 6.00 diopters or greater

You can pay these additional discounted fees for the optional items see in the chart on the left:

EXCLUSIONS

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
SCHEDULE AN APPOINTMENT

TO FIND NETWORK PROVIDERS
They are licensed providers in both private practice and retail locations who are extensively reviewed and credentialed to ensure that stringent standards for quality service are maintained.
You can access the VisionWorks/Davis Vision’s web site at www.visionworks.com and search for a provider or call (800) 999-5431 to access the Interactive Voice Response (IVR) Unit, to find a provider near you.

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 the member's ID number located on your Davis Vison ID Card and the name and date of birth of any covered dependent needing services.

USING THE BENEFIT AT DIFFERENT TIMES

Continuity of care will best be maintained when all available services are obtained at one time from your in-network provider. To maximize your benefit value, we recommend that all services be obtained from the same provider.