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Benefits

DC 37 Health & Security Plan Benefits

Optical Benefits

Contact

Inquiry Unit (Benefits & Coverage)
Tel. (212) 815-1234
Voucher Request
Tel. (212) 815-1531

DC 37 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.

Effective March 1, 2024, all participants will now have a $250 optical benefit to be utilized every 24 months based on your last date of service for all optical services. There are three ways to use your Optical Benefit: request an Optical Voucher, Optical Direct Reimbursement or a combination of both.

Using the DC 37 Optical Voucher

Our Plan maintains a list of participating Optical Providers, where participants can receive an eye examination, frames, and lenses upon presentation of a DC 37 Optical Voucher. Prior to making your appointment, please confirm that the optical provider is still on our DC 37 Participating Panel of Optical Providers. You can view the most up to date DC 37 Optical Provider List on our website at www.DC37.net/benefits/health/optical

Reminder
  • All information submitted should indicate member’s name and Personal Identification Number (PID) – even when requesting benefits/services for spouse/children.
  • A voucher can be used for exam, frames and lenses. For cataract contact lenses, the reimbursement method should be used.
Using the Optical Direct Reimbursement Form

You may visit an Optical Provider of your choice. Have your Optical Provider complete your Optical Reimbursement Form and submit the Form with proof of purchase and payment receipts to the Plan via fax 212-815-1218 or email to Optical@dc37.net for payment. Reimbursements will only be processed upon receipt of a completed Form. Please keep copies of your Form and receipts for your files.

If this method is chosen, the participant must complete an Optical Reimbursement Form and submit it to the Plan office for payment.

Using the Voucher and Optical Direct Reimbursement Form

Optical Direct Reimbursement Form, the utilization cost of the Voucher will be subtracted from the total amount spent up to $250.00 for all services rendered. The Optical Direct Reimbursement Form with proof of purchase and payment can be faxed to the Optical Unit at 212-815-1218 or emailed to Optical@dc37.net. Please keep in mind there is a sixty (60) day waiting period for a Voucher adjusted reimbursement before payment is issued. Again, please keep copies of your completed Optical Direct Reimbursement Form and receipts for your files.

You have the right to opt-out of the Plan’s Optical Benefit coverage.

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