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.
are three ways of using the optical benefit: using the voucher, getting direct
reimbursement or using the DC 37 Vision Center at 115 Chambers Street in Manhattan.
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
Appointments must be scheduled in advance at the DC 37 Vision Center, call
(212) 766-4452. The Center accepts calls for appointments beginning the last Monday
of each month (10-3 daily) until all available appointments are filled.
If a member or eligible dependent plans to use the DC 37 Vision Center, he/she
does not have to request a voucher, one will be requested by the Center after
an appointment has been scheduled. If the member or eligible dependent plans to
use the standard benefit with an outside prescription, no appointment is necessary,
however, the patient must request a voucher from the Plan office and bring both
the prescription and voucher to the dispensary.
Supplemental Optical Benefit
In addition to the standard optical benefit, the member and his/her eligible
dependents can apply for the Supplemental Optical Benefit. This benefit is provided
at the Vision Center only and is available once every 12 months measured from
the date the standard benefit was last used. The benefit includes an eye examination
and a change of lenses, if prescribed by the Vision Center's Optometrist.
If the member should need glasses for any reason, e.g.
an additional pair is desired or the glasses were lost or destroyed before the
eligibility waiting period is satisfied, the member should be aware that frames
and lenses can be obtained (member must provide the prescription) at the Center
and at a Participating Provider at a moderate cost without an appointment.
All information submitted should indicate member's name
and Personal Identification number - even when requesting benefits/services for
A voucher can
used for exam, frames and lenses. For cataract contact lenses, the reimbursement
method should be used. Contact lenses are not available at the DC 37 Health and
Security Plan Vision Center.
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
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