Routine eye exams and eyewear are provided by all three medical plans for you and your family. Your vision plan benefits depend on which medical plan you have elected.
|If your medical plan is:||Your vision care program is:|
|Kaiser Permanente HMO||Kaiser Vision (and also National Vision Administrators)|
|BlueChoice HMO||Davis Vision|
|CareFirst PPO||Davis Vision|
If you are enrolled in the Kaiser Permanente HMO Plan, you will be able to use the Kaiser Vision and National Vision networks for vision coverage. Eye exams require a $15 copay. You may also receive discounts on frames and lenses from in-network providers.
If you are enrolled in the CareFirst PPO Plan or the BlueChoice 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 you use a Davis Vision provider.
Under the BlueChoice 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.
|Your Vision Benefits|
|Plan Coverage||NVA (included with Kaiser)||DAVIS VISION (included with BlueChoice)||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 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 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 $0 through HMO with referral from PCP||$15 co-pay at participating Davis Vision providers|
|Frames||You select any frame type from a participating provider and pay the wholesale price plus 50%. (You save because retail price is often 3 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|
Prescription Safety Glasses are now available to ATU Local 689 members.
Am I eligible for Safety Glasses?
If you work in Maintenance or Construction, you are eligible for Prescription Safety Glasses. The members are eligible for this benefit once a year.
How do I get the Safety Glasses?
If you are eligible, you will need to complete an order form. You can download an order form or pick one up at the Transit Employees' Health & Welfare Plan office. Present the order form along with your vision prescription (including pupil distance) from your physician to the Transit Employees' Health & Welfare Plan.
Safety Glasses can be delivered directly to your home or to the Transit Employees' Health & Welfare Plan Office for pick-up.
What is the cost for this benefit?
The basic benefit, which includes single vision and lined bifocals, is offered at no cost to members. However, you are responsible for the extras.
For example, here are the costs of some common extras that can be ordered:
Where do the Safety glasses come from?
The Plan has an agreement with Safe Vision, LLC from St. Louis, MO to provide made-in-the-USA, ANSI-certified safety glasses. A representative from the company will be at the Plan Office the first three days of Open Enrollment. More details will be made available on this website as soon they are available.
Refer to the benefit booklet from your carrier or contact your carrier for limitations and exclusions to vision care services.
Your spouse’s coverage ends if you get divorced or if your marriage is annulled. If you are separated but still legally married, your spouse is still covered. You can remover him or her during the annual open enrollment. Your domestic partner loses coverage when your relationship no longer meets the criteria for a domestic partner relationship.
If you and your spouse are divorced, you should notify the Health & Welfare Plan Office immediately. If you fail to remove your divorced spouse from the Plan, you could be liable for any expenses claimed by your former spouse after the date of the divorce. For more information, see the Life Events page.