DC 37 Health & Security Plan Benefits
standard optical benefit is available to the member and his/her eligible dependents
once every two years, measured exactly two years from the last day of service.
The benefit consists of an eye examination, lenses and frames. You have the right to opt-out of the Planís Optical Benefit coverage. Call the Inquiry Unit at 212-815-1234 for more information.
There are two ways of using the optical benefit. Using the voucher or getting direct reimbursement.
Using a Voucher
If the member wishes to use this method, he/she must complete a Voucher Request
Form and send it to the Plan office, or call the Plan office at 212-815-1531 and
request a Voucher. Upon receipt of the request, a voucher together with a listing
of participating opticians will be forwarded to the member's home. The voucher
can be taken to any of our participating providers and the glasses will be provided
free of charge. If other than the Plan's frames and lenses are selected, the member
will be responsible for the additional expense.
You may obtain a direct reimbursement form from the Plan office or you may click here to download this form.
If this method is
chosen, the member must complete an Optical Reimbursement Form and submit it to
the Plan office for processing. Payment will be calculated according to the Plan's
optical reimbursement fee schedule.
In order to maximize the optical
benefit, the member must obtain and file for all three serviceseye examination,
lenses and framessimultaneously on the same claim form, whether using the
voucher or direct reimbursement method. Remember, the three parts of the benefit
cannot be split between the two available methodsvoucher or direct reimbursement
(except in New Jersey and Florida). The member should also be aware that partial
usage of the benefit will be considered the same as full usage.
Using the Vision Center
Effective July 1, 2017 the DC 37 Health Center at 115 Chambers Street will no longer provide vision services.
The yearly vision supplemental benefit provided at 115 Chambers Street will no longer be provided.
All information submitted should indicate member's name
and Personal Identification number - even when requesting benefits/services for
A voucher can
be used for exam, frames and lenses. For cataract contact lenses, the reimbursement
method should be used.
the voucher has been lost, destroyed, or never received, the member should call
the Plan office and request a notary letter. Once the notary letter is completed
by the member and returned to the Plan office, a new voucher will be issued.
If the voucher is outdated, the voucher MUST be returned
to the Plan office indicating if the voucher is to be voided only, or voided and
The Plan will not pay to reimburse you for lost or stolen glasses.
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