Vision Benefits

Even if you think you have perfect vision, 为了保护你和你所爱的人的整体健康,例行眼科检查是最好的方法之一. Your eyes are often a very effective window to your overall health. During a comprehensive eye exam, 眼科医生可以观察和评估视网膜血管的健康状况, 哪些是你全身血管健康的良好预测因素. Conditions such as diabetes, 高血压, 高胆固醇血症可以通过视网膜血液供应和血管的改变来观察.

常规眼科检查对任何糖尿病患者或因家族病史而有患病风险的人尤其重要, 肥胖, or other reasons. In its early stages, diabetic eye disease has no visible symptoms. 只有进行全面的眼科检查才能发现这种疾病的迹象,以防止视力下降.

那些没有进行常规眼科检查并患上青光眼的人,通常只有在这种疾病导致永久性视力丧失之后,才会意识到这一点. 到那个时候,控制青光眼以防止额外的视力损失是非常困难的. 没有通过药物治疗和/或青光眼手术成功控制, the disease can lead to blindness. 早期发现高眼压和青光眼的其他危险因素只能通过常规眼科检查.

视力福利由国家视力管理员(NVA)提供. Members may use any provider; however, if you use an NVA participating provider, 您将被收取折扣价格,供应商将为您提交索赔. If you do not use an NVA participating provider, 您必须向供应商支付全额,然后将已付款的发票提交给NVA报销, subject to the applicable limits. 在你进行预约时,一定要告诉NVA的参与提供者,你是由NVA承保的,并带着你的卡去预约. 

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Members receive an eye exam once every two calendar years. 

 

Participating provider:

  • 100% paid after $5 copay

Non-participating Provider:

  • 到30美元

*Higher copays may apply for contact Lenses examinations.

Members receive Lenses once every two calendar years. 镜片选择将由NVA供应商按批发价加25%定价. 

 

Participating Provider:

  • 100% paid for standard glass or plastic lens

Non-participating Provider:

  • Single Vision – 到25美元
  • Bifocal – Up to $35
  • Trifocal – Up to $45
  • Lenticular – Up to $75

Members can receive frames once every two calendar years. 供应商将收取批发成本和计划津贴之间的差额加20%.

 

Participating Provider:

  • Wholesale Allowance up to $40

Non-participating Provider: 

  • 到25美元

一旦你达到MOOP上限,本基金将为你在今年剩余时间支付100%的费用. MOOP限制包括检查共同付款和购买标准框架和Lenses, but does not include additional costs for upgraded frames, Lenses, 和联系人. 

 

MOOP限制:

  • 每人25美元
  • $50 family maximum

会员可每两年领取一次隐形眼镜,以代替隐形眼镜 & Frame. Pre-approval required from NVA for Medically Necessary. 

 

选修课程: 隐形眼镜的好处包括所有类型的隐形眼镜,如硬, 软, 气体渗透, and disposable Lenses.

  • Up to $105, plus routine eye exam

Medically Necessary: 在白内障手术后使用隐形眼镜时,必须事先获得授权, 矫正眼镜不能矫正到20/70的极端视力问题, 屈光参差, 或圆锥形角膜.

  • Up to $150, including routine eye exam

从参与的NVA提供商购买的镜片选项将按列出的金额提供给会员. 

 

  • 10美元坚实的色彩
  • $12 Fashion/Gradient Tint
  • $10 Standard Scratch-Resistant Coating
  • $12 Ultraviolet Coating
  • $40 Standard Anti-Reflective
  • $20 Glass Photogrey (single vision)
  • $30 Glass Photogrey (multi-focal)
  • 75美元的极化
  • $50 Progressive Lenses Standard*
  • $65 Transitions Single Vision Standard
  • $70 Transitions Multi-Focal Standard
  • $25 Polycarbonate (single vision)
  • $30 Polycarbonate (multi-focal)
  • $30 Blended Bifocal (segment(
  • 55美元指数高
  • $100 Progressive Lenses Premium*

*Fixed pricing not available on certain brands. 

 

未列出的选项将由参与NVA供应商按批发价加25%定价.

In addition to your funded benefit, 会员有资格在计划期间购买额外商品时享受EyeEssential®计划折扣(仅限网络). Please contact NVA for details. 

Service by a Non-Participating Provider

如果一个 Non-Participating Provider 使用时,会员须负责支付服务时的100%费用. You must then request reimbursement from NVA. To receive reimbursement:

    • Complete a “Claim for Vision Care Expense” form. Forms can be downloaded 在这里 或在 e-nva.com.
    • Scan and submit form by email to: visionclaims@e-nva.com
    • Or Fax form to
    • 或将填妥的索赔表格及列明的收据(复印件或原件)邮寄至:

National Vision Administrators
邮政信箱2187
Clifton, NJ 07015

    • If you cannot print the claim form, 你可以连同包含会员全名的信函一并提交收据, patient’s full name, address, 身份证号码, and OLDC-OCA 保险 Fund.

还记得, 从非参与提供者处获得视力保健服务将导致您的自付费用增加.

NVA App Available

You can take NVA with you anyw在这里 you go with the NVA mobile app. 安卓用户可以在谷歌Play上下载NVA应用程序,iPhone用户可以在app store上下载. Simply download the app on your mobile device to get started. 通过在在线商店的搜索框中输入NVA vision找到该应用程序. 目前只有NVA持卡人可以使用NVA视力福利会员应用. Dependents cannot access the app.

With the NVA vision benefits member app, users can: 

  • Find an in-network vision care provider nearby, call the provider to setup an appointment, and get driving directions. 
  • 检查视力检查、眼镜、镜框和隐形眼镜的好处信息. 
  • See the last time the benefit was used and the next time it can be used. 
  • 查看身份证
  • 访问NVA智能买家®,了解处方如何决定镜片和镜框的选择, 优点和缺点的Lenses和Lenses的选择以及估计零售价格, factors to consider when selecting frames, 和更多的. 
  • Create an account, reset password and/or username, 重置安全问题并更改与帐户相关的电子邮件地址(如果您在NVA网站上创建了一个用户名和密码,您可以使用相同的用户名和密码). 

Additional Vision Benefits

NVA已经与国家LASIK网络合作,提供一定的折扣. 会员有权享受重大折扣和与所有网络供应商的免费初步咨询. Please contact NVA for additional details at .

会员也有资格邮购隐形眼镜更换服务,联系填写. Members can access 联系 Fill’s services online at www.contactfill.com 或拨打 .

Benefit Exclusions

Some services and materials are not covered under the Vision Benefit. The following is a partial list of what is not covered:

  • Medical or surgical treatments
  • Prescription Drugs or over-the-counter medications
  • Non-prescription Lenses
  • Two pair of glasses in lieu of bifocals
  • Subnormal visual aids
  • Vision examinations or material required for employment
  • Replacement of lost, stolen, broken, or damaged Lenses
  • 配戴隐形眼镜或镜框,但正常间隔时除外
  • 由联邦、州或地方政府或工人补偿机构提供的服务或材料
  • 考试、程序培训或未列为覆盖服务的材料
  • 工业安全Lenses和安全框架,带或不带侧护罩
  • Parts or repair of frame
  • 太阳镜

联系 NVA for additional details 

Customer Service: 1-

网站: www.e-nva.com 

Find A Provider – Sponsor #: 1373100

For additional information, Members can review their 保险 Summary Plan Description.

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