Vision Benefit Summary
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UMWA Health and Retirement Funds

Vision Benefit Summary

 

Vision Plan
Eligibility
All beneficiaries eligible for a medical plan are eligible for the Vision Plan.
 
 
Anti-reflective lenses
Not covered.
 
Designer frames
Not covered.
 
Frames
CBF/1992 Benefit Plan - $14.00 per set              
 
1993 Benefit Plan/Prefunded Benefit Plan – $33.13 per set
                                            
Limited to 1 set of frames every 24 months.
 
​Lenses
​Single Vision ​CBF/1992 - $10.00 per lens ​1993 - $23.39 per lens
Bifocal Lens​ CBF/1992 - $15.00 per lens ​1993 - $35.09 per lens
Trifocal Lens​ ​CBF/1992 - $20.00 per lens ​1993 - $46.75 per lens
Lenticular Lens​ ​CBF/1992 - $25.00 per lens ​1993 - $58.45 per lens
Contacts​ ​CBF/1992 - $15.00 per lens ​1993 - $35.09 per lens

 

All services must be prescribed by a physician, optometrist or optician. Limited to one set of lenses every 24 months.

New lenses are only covered if:

The new prescription differs by an axis change fo 20 degrees or .50 diopter sphere or cylinder change.

The lenses improve visual acuity by at least one line on the standard eye chart.

Mine Safety Glass Program
Services or supplies provided by a Mine Safety Glass Program are not covered.
 
Photosensitive lenses
Not covered.
 
Oversized lenses
Not covered.
 
Optional features
Not covered.
 
Routine Examination
CBF/1992 Benefit Plan - $20.00 per exam. 1 exam every 24 months.
 
1993/Prefunded Benefit Plan - $46.75 per exam. 1 exam every 24 months.
 
Services covered by the Medical Plan
Not covered.
Sunglasses
Not covered.
Tinting
Rose tints No. 1 or No. 2 are covered if prescribed for medical reasons. 
All other tints are not covered.
Vision Training
Not Covered
 

 

 

 

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