The Fund provides benefits for one eye exam and lens(es) per calendar year. The Plan’s fee schedule is as follows:
- Eye exam ($20)
- Lenses ($50)
The Fund presently has an arrangement with three vision care networks; General Vision Services (“GVS”), Comprehensive Professional Systems (CPS) and Vision Screening that have agreed to accept the Fund’s fee schedule for the selected eye care as payment in full. There is no out-of-pocket expense provided the lenses and frames you select are within the variety of lenses and frames offered under the Fund. Please call the Fund Office or click on the vision care network links above for lists of participating GVS, CPS and Vision Screening locations and phone numbers to call to schedule an appointment.
To submit vision claims, you must complete and return the appropriate form to the Fund Office:
Davis Vision is a participating vendor for Lasik surgery only. The Fund allows $1,000 per eye for Lasik surgery. You may contact Davis Vision directly at 800-584-2866 or log onto http://www.davisvision.com/ Once logged onto the Davis Vision website the client code for Local 94 Health and Benefit Fund is 7084. Learn more.
You may also obtain Laser Vision correction services from any non-participating provider you choose.
If you choose a non-participating provider, you will be responsible for paying any cost beyond the Health and Benefit Fund’s maximum allowance of $1,000 per eye for Laser Vision correction surgery.
In order to receive payment for a non-network provider you must complete the Empire Blue Cross claim form and submit the claim directly to Empire Blue Cross.
If you have to file a medical claim with Empire for reimbursement, download and fill out the Empire Claim Form (PDF). Once you fill out the form, mail it and any applicable documents to:
Empire BlueCross BlueShield
P.O. Box 1407
Church Street Station
New York, NY 10008-1407
Need to Find a Doctor, Dentist or Vision Specialist?
What is the Family and Medical Leave Act (FMLA)?
Generally, the Family and Medical Leave Act (“FMLA”) allows you to take up to 12 weeks of unpaid leave during any 12-month period due to:
- the birth, adoption, or placement with you for adoption of a child;
- to provide care for a spouse, child, or parent who is seriously ill; or
- your own serious illness.
You are generally eligible for a leave under the FMLA if you:
- have worked for the same Contributing Employer for at least 12 months;
- have worked at least 1,250 hours over the previous 12 months; and
- work at a location where at least 50 employees are employed by the Contributing Employer within 75 miles.