Optical Benefit

Click here for a list of optical benefit providers

 

Active members and their eligible dependents are entitled to optical benefits once during each plan year. (September 1st – August 31st) Retired members in the Basic Plan are eligible once every two years.  You have the option of choosing from either one or two the following optical benefits under this program.

  1. All frames and lenses through participating providers have a one year 100% replacement guarantee if damaged or broken due to defects in manufacturing.
  2. At participating providers, you are entitled to a paid-in-full benefit for a comprehensive eye exam including glaucoma test and one pair of eyeglasses or prescription sunglasses (lenses and frame), or the benefit may be used for standard daily wear, disposable contact lenses or planned replacement contact lenses. Additional frame selections and many different lenses and coatings are also available at participating providers at discounted prices.  Contact the Fund Office, or check the Fund's website, for a recent list of copays.
  3. At non-participating providers, reimbursement will be made directly to you for actual expenses not to exceed $10 for an exam and up to $35 for materials (frames, lenses, contacts).*

 

Obtaining Benefits:

Call the Fund Office, or check the Fund's website, for a list of participating providers or for a Direct
Reimbursement Claim form if you use a non-participating provider. 

In order for a dependent full-time student between the ages of 19 and 25 to obtain optical benefits, proof of full-time student status must be submitted every semester.  Verification of student status forms may be obtained at the Fund Office.

If you choose a participating provider, call the provider's office directly to schedule an appointment.  Identify yourself as an FASCC Benefit Fund member or dependent.  The provider's office will verify your eligibility for services.

If you choose to use a non-participating provider, return your Direct Reimbursement Claim Form, with receipts attached* to the Fund's optical benefit administrator at the address on the claim form.  An indemnity payment will be made directly to you. Optical Reimbursement Claim Forms can be obtained directly from Mary Kaffaga at the Benefit Fund office.

General Limitations:

  • When you go to a non-participating provider, you must have the provider complete the Direct Reimbursement Claim Form.  The examination, lenses and frames must be billed at the same time, on one claim form during each plan year (Sept. 1 - Aug. 31).
  • In order for you to make the best possible use of your Optical Benefit, please keep in mind that partial usage of the benefit is considered the same as full usage.  If, for example, you file a claim for an eye examination only, or just for the repair of frames, you will not be entitled to receive the benefit for another plan year.
  • The three parts of the benefit (examination, lenses and frame) cannot be split between participating providers and non-participating providers.  You must use one option or the other for all three parts.

(For active members, eligible dependents and retirees purchasing the Enhanced Plan only)