mbf-vision-benefits-faqs

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Basic Life and AD&D Insurance
Group Universal Life Insurance (GUL)
Long Term Disability (LTD) Insurance
Superimposed Major Medical
Dental
Vision
Survivor Benefits
COBRA
Medical Leave and Special Leave of Absence
Health and Fitness Reimbursement
Retiree, Senior Drug Subsidy Benefits
MBF Forms & Downloads
MBF Frequently Asked Questions
Email MBF

MBF Videos

Basic Life and AD&D Insurance

Group Universal Life Insurance (GUL)

Long Term Disability (LTD) Insurance

Superimposed Major Medical

Dental

Vision

Survivor Benefits

COBRA

Medical Leave and Special Leave of Absence

Health and Fitness Reimbursement

Retiree, Senior Drug Subsidy Benefits

MBF Forms & Downloads

MBF Frequently Asked Questions

Email MBF


The Management Benefits Fund

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Frequently Asked Questions - Vision Benefits

What is covered under the Vision Care Program? View the Answer

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The Program covers eye examinations, lenses, and frames provided by a legally qualified optometrist or optician. The Vision benefit is administered by General Vision Services (GVS).

What benefit options are available?View the Answer

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The MBF Vision Care Program offers in-network and out-of-network options. The in-network option is provided through a Participating Provider Organization (PPO) network. With the in-network option, you will also have access to large National Retailers that offer vision services, such as Visionworks, Costco, LensCrafters, Target, Cohen’s Fashion Optical, Sterling Optical, Pearle Vision, etc.

When using a National Retailer, please identify yourself as a GVS / MBF member participating in the VBA network. Please provide your virtual GVS ID card (available on the GVS website and app) which includes your benefit number and provide the last 4 digits of your Social Security Number. Your Vision benefit number to access the ID card is #6054. The GVS app is available for iOS and Android.

How can I locate an in-network PPO Provider? View the Answer

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You can either call the Vision administrator's customer service number at 888-906-0393, locate a provider through the GVS directory online at generalvision.com, or download the GVS app on iOS or Android and enter Vision Benefit #6054.

How does the out-of-network option work? View the Answer

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When using an out-of-network provider, you can use the services and supplies made or recommended by any legally qualified ophthalmologist, optometrist, or optician. After you pay the provider for services rendered, you and the provider should complete the appropriate sections of the Vision Care Direct Reimbursement Claim Form and then you must submit the form to GVS. The maximum reimbursement is up to $150 per covered individual per benefit year (up to $25 for an examination and up to $125 for eyeglasses or contact lenses).
The maximum reimbursement is limited to $150 per covered individual per benefit year.

How does the in-network PPO option work? View the Answer

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The in-network PPO option requires you to select a provider from the PPO network. You can obtain full service benefits i.e., examinations, Plan lenses, and Plan frames up to $300 from the GVS Collection from this provider with no co-payment required.
Fund Members and eligible dependents can obtain daily wear contact lenses as well as certain disposable or frequent replacement contact lenses at no cost through the Plan Contact Lens options. For those members needing specialty contact lenses or contact lenses not included in the Collection, the Fund provides an allowance of $200 towards non-collection contact lenses or for the purchase of medically necessary contact lenses.

To utilize the in-network PPO option, select a provider from GVS's online Vision Care in-network PPO Directory at generalvision.com, call 888-906-0393, or download the GVS app for iOS or Android and enter Vision Benefit #6054. Then call the provider you have chosen and schedule an appointment. Ensure that you identify yourself as an MBF member and confirm that the provider is an MBF participating provider.

Go to your scheduled appointment, receive your examination, and select your eyewear. Pick up your eyewear when it is ready. You do not have to pay the provider if Plan materials are used and you will not receive a bill.

Under the in-network PPO option, is there a co-pay for bifocals, trifocals, designer frames,
no-line bifocals etc.? View the Answer

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When using the in-network PPO option, no co-payments are required for bifocals, trifocals, contact lenses, photo-grey lenses, progressive (no-line) lenses, cataract lenses, prescription glasses, and selected designer frames up to $300 from the GVS Collection. For non-plan items such as special designer frames, the Fund pays $200 towards the cost of the frame. The member will be responsible for any amount over $200.

How often can I utilize the vision care benefit? View the Answer

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You are covered for one eye examination and one pair of lenses (including contact lenses and prescription sunglasses or tinted lenses) every benefit (calendar) year.

Download this section of the Fund Booklet

Download the Vision Care Direct Reimbursement Claim Form

Learn more about COBRA