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FAQs
Management Benefits Fund > Vision Benefits


What is covered under the Vision Care Program?
What benefit options are available?
How can I locate a PPO Provider?
How does the indemnity reimbursement option work?
How does the PPO option work?
Under the PPO option, is there a co-pay for bifocals, trifocals, designer frames, no-line bifocals etc.?
How often can I utilize the vision care benefit?
Will I lose coverage when I am no longer a member of the MBF?

 

What is covered under the Vision Care Program?
The Program covers eye examinations, lenses, and frames provided by a legally qualified ophthalmologist, optometrist or optician.

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What benefit options are available?
The MBF Vision Care Program offers an indemnity reimbursement option and a Participating Provider Organization (PPO) option.

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How can I locate a PPO Provider?
You can either call the provider's customer service number, (800) 999-5431, or select a provider through the directory online.

Visit the PPO directory online

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How does the indemnity reimbursement option work?
Under the indemnity reimbursement option, you can use the services and supplies made or recommended by any legally qualified ophthalmologist, optometrist, or optician. After you pay the provider for services rendered, you and the provider should complete the appropriate sections of the Vision Care Direct Reimbursement Claim Form. You will then be reimbursed 100% of the first $25 and 80% of the excess.

The maximum reimbursement is limited to $150 per covered individual per benefit year.

Download the Vision Care Direct Reimbursement Claim Form (PDF)

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How does the PPO option work?
The PPO option requires you to select a provider from the PPO network. You can obtain full service benefits i.e., examinations, Plan lenses, and Plan frames from this provider at no cost to you.

Fund Members and eligible dependents can obtain daily wear contact lenses as well as certain disposable or frequent replacement contact lenses at no cost. The Fund provides an allowance of $94 towards the purchase of medically necessary contact lenses.

To utilize the PPO option, select a provider from the Fund's online Vision Care PPO Directory or call (800) 999-5431. Then call the provider you have chosen and schedule an appointment. Make sure that you identify yourself as an MBF member and confirm that the provider is an MBF participating provider.

Go to your scheduled appointment (the PPO option no longer requires vouchers), receive your examination, and select your eyewear. Pick up your eyewear when it is ready. You do not have to pay the provider if Plan materials are used and you will not receive a bill.

Visit the PPO directory online

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Under the PPO option, is there a co-pay for bifocals, trifocals, designer frames, no-line bifocals etc.?
When Plan materials are used, no co-payments are required for bifocals, trifocals, contact lenses, photo-grey lenses, progressive (no-line) lenses, cataract lenses, prescription glasses, and selected designer frames within the "Premier Collection." For non-plan items such special designer frames, the Fund pays a specific allowance above which the member is responsible for full payment.

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How often can I utilize the vision care benefit?
You are covered for one eye examination and one pair of lenses (including contact lenses and prescription sunglasses or tinted lenses) every benefit year.

Under the PPO option, frames are covered every benefit year. However, under the indemnity option, frames are covered once every two consecutive benefit years except for children under age 14 who are covered for frames every benefit year.

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Will I lose coverage when I am no longer a member of the MBF?
Under COBRA, you and your dependents may have the right to continue coverage for a specified period from the time you are no longer a member.

Learn more about COBRA

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Spotlight

Employee Assistance Programs (EAPs)
EAPs are staffed by professional counselors who can help employees and their eligible dependents handle problems in areas such as stress, alcoholism, drug abuse, mental health, and family difficulties.

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