Active Member Optical Benefit
The Superior Officers Council Active Health and Welfare Fund provide an annual optical benefit to members and their eligible dependents . DavisVision Inc., a leading national administrator of quality vision care programs, administers this benefit.
Benefit Overview
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 are maintained.
Eligibility
The member and eligible dependents are entitled to an annual vision benefit once every calendar year. A full year is not required to pass between benefit distributions.
What Are My Benefits?
Eye Examination
An eye examination, (including dilation as professionally indicated), is covered at a participating network provider with no co-payment.
Spectacle Lenses (one pair)
Including single vision, bifocal, or trifocal lenses, in any prescription range is covered with no co-payment.
Frame
Select from the Premier selection on "The Collection" displayed in most providers' offices. If the member selects a frame other than provided by the plan a credit will be applied toward the frame purchase.
Contact Lenses ( in lieu of eyeglasses)
The plan covers most popular types of contact lenses including standard, soft, daily-wear (available with no co-payment) or disposable type contact lenses (at either a $20 co-payment for an approximate three month supply or a $40 co-payment for an approximate six month supply.)
A $45 credit will be applied toward the purchase of non-plan contact lenses, fitting fees, and follow-up care. Your provider will determine your copayment or credit based on the type of contact lenses required.
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.
What lenses/coatings are included?
- 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 low, discounted fees for the following optional items:
Lens Treatment
- UV (ultraviolet) protection - $12
- Scratch-resistant coating - $20
- ARC (anti-reflective coating)
Standard brands - $35
Premium brands - $48
Lenses
- Blended invisible bifocals - $20
- Intermediate vision lenses - $30
- Polycarbonate lenses - $30
- Plastic Photosensitive lenses - $65
- High Index (thinner/lighter) - $55
- Polarized - $75
- Progressive Addition Lenses
Standard Brands - $50
Premium Brands - $90
- Photogrey Extra (photosensitive) - $20
Note: Progressive lenses can be worn by most people, however conventional bifocals will be supplied at no additional cost for anyone who is unable to adapt to progressive lenses. The fixed fee for progressive lenses noted above will not be refunded.
Exclusions
The following items are not covered by the DavisVision Program:
- Medical treatment of eye disease or injury
- Vision therapy
- Special lens designs or coatings other than those previously described
- Replacement of lost eyewear.
- Non-prescription (plano) lenses.
- Two pair of eyeglasses in lieu of bifocals.
- Contact lenses and eyeglasses in the same benefit cycle
How to Claim Benefit
To access a listing of participating DavisVision providers you can call 800.999.5431 or visit www.davisvision.com Enter Client Control Number 2942, the last four digits of the member 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 5 characters use the full last name only as the password.
Call the network provider of your choice and schedule an appointment. Identify yourself as a DavisVision plan participant with the Superior Officers Council Active Health and Welfare Fund. Provide the office with the member's ID number and the birth dates of any covered children needing services.