Vision Benefits (Adjuncts)

Beginning January 1, 2020, the frequency of the Davis Vision in-network benefit will be doubled. All plan participants and their eligible dependents will be entitled to a pair of glasses (lenses and frames, or contact lenses, and an optometric examination) once per year (12 months). This annual benefit is available through the Davis Vision vendor network contracted by the Fund, which includes all licensed optometrists that participate with Davis Vision. Service through the Davis network requires no out-of-pocket costs for a broad selection of Davis-branded frames, lenses and contact lenses, and includes coverage for progressive lenses, transition lenses and other enhancements. Eyeglasses and eye exams purchased outside of the Davis Vision in-network plan are not eligible for this enhancement.

Members whose last date of in-network Vision Benefit service was at least 12 months from Jan. 1, 2020, are eligible to use the Davis in-network benefit in January. The out-of-network benefit frequency remains 24 months. To check on eligibility, members must call Davis Vision at 800-999-5431 or register with Davis Vision online at davisvision.com.

The following description refers to frequency rules in place until Jan.1, 2020.

Coverage under the adjunct plan is individual-only. For Family Coverage, please call the Fund office for more information and the current premium rate.  Family premiums must be paid on a quarterly basis. Enrollment in NYC-CBP basic health insurance, family coverage, is requisite. The Welfare Fund Family Enrollment Supplement form is here.

The Welfare Fund has contracted with Davis Vision as its exclusive network provider for glasses and contact lenses for members and their covered dependents. If you use a licensed provider that is not part of Davis Vision, you'll need to submit the Direct Reimbursement claim form

Each participant is entitled to an eye exam and a pair of eyeglasses (lenses and frames) once every two years (24 months). Dependent children up to age 19 are eligible for the vision benefit once every 12 months but only via a participating Davis Vision provider. If using a non-participating provider, you can submit a claim form for reimbursement of up to $200 every two years. In order for the Fund to maintain accurate records, reimbursement claims should be submitted and will only be accepted once every two years (24 months), no matter the amount.

Eye examinations other than for purchase of glasses or contact lenses are not covered. Glasses must be purchased on the date of the examination. Split services are not permitted within the provider network.

To use your benefit at Davis Vision, Access Davis Vision’s website at www.davisvision.com and use the “Find a Doctor” feature, or call 1.800.999.5431 for the names and addresses of the network providers nearest you. Call the network provider of your choice and schedule an appointment.

You may also create a personal account by logging onto the Davis Vision website.You will need to use your Social Security number for your first log-in.

For information on member and dependent eligibility and most recent date of service, contact Davis Vision at 1.800.999.5431.

If you go to a Davis Vision location without first registering and making an appointment, you will not receive service. See the Davis Vision benefit brochure.

This page includes only highlights of your optical benefits. See the Details Tab for more information.

Create a PDF of:

Coverage under the adjunct plan is individual-only. For Family Coverage, please call the Fund office for more information and the current premium rate.  Family premiums must be paid on a quarterly basis. Enrollment in NYC-CBP basic health insurance, family coverage, is requisite. The Welfare Fund Family Enrollment Supplement form is here.

Plan participants and their eligible dependents are entitled to a pair of glasses (lenses and frames and an optometric examination) once every two years (24 months). This benefit can be rendered through the vendor contracted by the Fund, Davis Vision, or through other licensed providers.

How does the Davis Vision plan work?

Service through Davis Vision has no out-of-pocket costs for a limited selection of frames and lenses. Service rendered through other providers is subject to a maximum reimbursement of up to $200. If you use a provider that is not part of Davis Vision, a Direct Reimbursement claim form should be submitted within 90 days of service. In order for the Fund to maintain accurate records, reimbursement claims should be submitted and will only be accepted once every two years (24 months), no matter the amount.

Eye examinations other than for purchase of glasses or contact lenses are not covered.

Examination is provided by a licensed optometrist for determination of refractive index as well as detection of cataracts, glaucoma and retinal/corneal disorders. There is no co-payment when using an in-network provider.

Frames

You may choose any Fashion, Designer or Premier-level frame from Davis Vision’s Frame Collection, free of charge.

If you visit a Davis Vision participating provider and you select a non-plan frame, a $100 credit, plus a 20% discount will be applied. This credit would also apply at retail locations that do not carry the Frame Collection.

If you visit a Davis Vision Visionworks location, and choose a non-plan frame, a $175 credit plus 20% discount is available.

Members are responsible for the amount over $100 (or $175 at a Visionworks location), less the applicable discount.

Lenses

A range of special lenses and coatings is available with no co-payment at any in-network provider. For a complete list, see the Davis Vision brochure.

Contact Lenses

In lieu of eyeglasses, you may select contact lenses. Any contact lenses from Davis Vision’s Contact Lens Collection are available at no charge. Evaluation, fitting and follow-up care will also be covered. The Davis Vision Premium Contact Lens Collection includes disposable (8 boxes) and standard replacement lenses (4 boxes).

Members may use their $150 credit, plus a 15% discount toward non-Davis Vision Collection contact lenses, evaluation, fitting and follow-up care.

Visually required contact lenses will be covered up to $105 with prior approval and may be prescribed only for certain medical conditions, such as Keratoconus.

Please note: Contact lenses can be worn by most people. Once the contact lens option is selected and the lenses are fitted, they may not be exchanged for eyeglasses. The Davis Vision collection is available at most participating independent provider locations.

Special Dependent Coverage: Dependent children up to age 19 are allowed a pair of glasses (frame and lenses) every 12 months (known as the "off year" benefit). There is no reimbursement from the Fund for Special Dependent Coverage from non-participating providers.

Eye examinations are covered through a participating Davis Vision provider when made in conjunction with the purchase of glasses or contact lenses. If the purchase of corrective lenses and frames is made at a later time, there is a three-month limit in order to qualify for the balance of the benefit.

How do I find a participating Davis Vision eyeglass store?

Access Davis Vision’s website at www.davisvision.com and use the “Find a Doctor” feature (On the Davis homepage, click on the "Members" tab, which will bring you to a menu. Type in the client code 2022 and submit) or call 1.800.999.5431 for the names and addresses of the network providers nearest you. Call the network provider of your choice and schedule an appointment. Identify yourself as a PSC-CUNY Welfare Fund member or dependent and Davis Vision member. Provide the office with your name, SS# and the name and date of birth of any covered member/dependent needing services. The provider’s office will verify your eligibility for services. You may also create a personal account by logging onto the Davis Vision website. See the Davis Vision benefit brochure here.

What if I don’t go to Davis Vision?

Any licensed provider of vision services may be used as an alternative to Davis Vision providers. The reimbursement will cover frames, lenses or contact lenses costs not to exceed $200 (for service provided after Jan. 1, 2017) every two years. A claim form should be submitted within 90 days of service.