We are committed to providing you with the best possible service and making our working relationship a success. Effective April 13, 2020, Local 689, Full-time employees are eligible for health care from the first day of employment.
If you were hired before January 1, 2010 and you retire, you can choose to continue your medical benefits (including prescription drug coverage) under the Plan. You are also eligible for life insurance and voluntary retiree dental coverage through Delta Dental.
All three medical plans offer annual eye exams and eyewear for you and your family. Your vision plan benefits depend on which medical plan you have selected.
If your medical plan is:
Your Vision Care Program is:
Kaiser Permanente HMO
Kaiser Vision (and National Vision Administrators)
If enrolled in the Kaiser Permanente HMO Plan, you can use the Kaiser Vision and National Vision network for vision coverage. Eye exams require a $15 copay. You may also receive discounts on frames and lenses from in-network providers.
CareFirst/Davis Vision
If you are enrolled in the CareFirst PPO Plan or the Blue Choice HMO Plan, you are eligible for vision benefits through Davis Vision.
Under the CareFirst PPO Plan, you must pay a $15 copay for an eye exam. You are limited to one eye exam annually. You can also receive discounts on frames and lenses when using a Davis Vision provider.
Under the Blue Choice HMO Plan, you can have eye exams through Davis Vision for a $15 copay. Ophthalmologist visits through the HMO are free of charge with a referral from your primary care provider.
Vision Benefit by Comparison
Plan Coverage
NVA (included with Kaiser)
DAVIS VISION (included with Blue Choice)
DAVIS VISION (included with CareFirst PPO)
Vision Coverage (Active Employees)
Exams through HMO: $15; discounted lenses and frames through National Vision Administrators (NVA)
Exams through Davis Vision: $15 co-pay Ophthalmologist visits through HMO: $0 co-pay with a referral from PCP; discounted frames and lenses through Davis Vision
Eye exam through Davis Vision: $15 One eye exam per calendar year; discounts on frames, lenses, and contacts when you use a Davis Vision provider
Vision Coverage (Retired Employees)
Exams through HMO: NVA discounts are not available to retired employees and widows
Exams through Davis Vision: $15 co-pay Ophthalmologist visits through HMO: $0 co-pay with a referral from PCP; discounted frames and lenses through Davis Vision
One eye exam per calendar year; discounts on frames, lenses, and contacts when you use a Davis Vision provider
Eye Exams
$15 co-pay
$15 through Davis Vision and $0 through HMO with a referral from PCP
$15 co-pay at participating Davis Vision providers
Frequency
Annually
Annually
Annually
Frames
You select any frame type from a participating provider and pay the wholesale price plus 50%. (You save because the retail price is often three times the wholesale cost.)
Up to $70 retail: You pay $40. Over $70 retail: You pay $40 plus 90% of the amount over $70
Up to $70 retail: You pay $40. Over $70 retail: You pay $40 plus 90% of the amount over $70
Lenses
For example, per the schedule, your cost would be $31/pair for single-vision plastic lenses.
You pay
Single: $35
Bifocal: $55 Trifocal: $65
You pay
Single: $35
Bifocal: $55
Trifocal: $65
Limitations and Exclusions
Refer to the benefits booklet from your carrier or contact your carrier for limitations and exclusions to vision care services
Prescription Safety Glasses
Prescription Safety Glasses for Local 689 members enrolled in Transit Employees Health & Welfare Plan.
If you work in Maintenance or Construction, you are eligible for Safety Glasses. Members are eligible for this benefit once a year.
The primary benefit is offered at no cost to the members. However, members are responsible for extras. For example, Progressive Bifocal is $30; Scratch Resistant Coating is $25; Anti-Glare Coating is $35; Anti-Glare is $40; Black Hard Case is $8.
Please visit www.safevision.net, select a pair of frames from the list below, and send us a copy of your prescription and pupil distance/frame selection for approval to info@tehw.org
.
Traditional Frames: SV51, SVSS1, SVSS3, SVSS11, SVSS14, SVSS12.
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