The Vision Care Plan offers quality eye care services at no cost to members from one of the Plan's panel providers. The following Vision Plans are available for Local Government.

All of the following EBF Vision Plans are available on either a 12 or 24 month benefit basis.

• Silver - The Silver 12 Vision Care Plan offers quality eye care services at no cost to members within the designated plan from one of the Plan's panel providers. Eligible members (and dependents, if covered) are entitled to an eye examination and one pair of glasses (lenses and frames) or contact lenses once in a 12 month period. Dilation will be included at a Provider's Office whenever professionally indicated without any additional cost to the member. Plan contact lenses consist of Soft, Standard Daily Wear, Planned Replacement or Disposables. A contact lens formulary is used which allows for an initial supply of many of the most popular and commonly prescribed brands of soft contact lenses. If specialty (non-plan) contact lenses such as Toric, Multifocal or Rigid Gas Permeable lenses are required, the allowance will be applied toward the total cost of the contact lenses.
• Gold - The Gold 12 Vision Care Plan offers quality eye care services at no cost to members within the designated plan from one of the Plan's panel providers. Eligible members (and dependents, if covered) are entitled to an eye examination and one pair of glasses (lenses and frames) or contact lenses once in a 12 month period. Dilation will be included at a Provider's Office whenever professionally indicated without any additional cost to the member. Plan contact lenses consist of Soft, Standard Daily Wear, Planned Replacement or Disposables. A contact lens formulary is used which allows for an initial supply of many of the most popular and commonly prescribed brands of soft contact lenses. If specialty (non-plan) contact lenses such as Toric, Multifocal or Rigid Gas Permeable lenses are required, the allowance will be appled toward the total cost of the contact lenses.
• Platinum - The Platinum 12 Vision Care Plan offers quality eye care services at no cost to members within the designated plan from one of the Plan's panel providers. Eligible members (and dependents, if covered) are entitled to an eye examination and one pair of glasses (lenses and frames) or contact lenses once in a 12 month period. Dilation will be included at a Provider's Office whenever professionally indicated without any additional cost to the member. The benefit includes: plastic, polycarbonate, glass, standard or premier progressive no-line bifocals or trifocals, glass photochromic lenses, cataract lenses, fashion tints, prescription sunglasses and scratch guard coating. Plan contact lenses consist of Soft, Standard Daily Wear, Planned Replacement or Disposable. You will be allowed $125 toward non-plan contact lenses.

The following Vision Plan Options can be added to the Optical programs offered by the EBF.

• Anti-Reflective Coating - A coating which allows a much higher percentage of light to pass through the lens. May be purchased separately under the Silver, Gold and Platinum Plans.
• High Index Lenses - Glass or plastic material which results in a lens that is 20-25% thinner. May be purchased separately under the Silver, Gold or Platinum Plans.
• Polaroid Lenses - Lenses which effectively block glare. Especially useful near water or snow. May be purchased separately under the Gold or Platinum Plans.
• Transition Lenses - Plastic Lenses that darken when exposed to light. May be purchased separately under the Platinum Plan.
• Ultra Violet Coating - A coating applied to any lens material to block up to 100% of potentially harmful UV light. May be purchased separately under Silver, Gold and Platinum Plans.
• Occupational Vision - This benefit is available to members only. The occupational benefit entitles the member to an occupational eye exam, which may result in the member being prescribed two pairs of glasses, a dress pair and one to be used for work. To receive occupational glasses the prescription must be different than the dress pair or include a tint. The exception to this rule is that members who drive will be entitled to a prescription pair of sunglasses even if the prescription is the same as their regular glasses. The Participating Provider makes the determination whether the occupatioinal pair is warranted. This option may be purchased separately under the Platinum Plan.

VISION DISCOUNT FIXED CO-PAYS

Major Plan Features

• Program offers fixed co-pays for lenses and coatings at any EBF participating provider office.
• Members/eligible dependents who wish to purchase lenses and coatings not currently covered by their vision program will be entitled to a set co-pay, resulting in substantial out-of-pocket savings.

Fixed Co-pays Include:

$35.00 - Standard Anti-reflective Coating

$48.00 - Premium Anti-reflective Coating

$55.00 - Ultra Anti-reflective Coating

$12.00 - Ultraviolet (UV) Coating

$65.00 - Plastic Photosensitive Lenses

$90.00 - Premium Progressive Lenses

$55.00 - High Index Lenses

$75.00 - Polarized Lenses

This valuable program provides savings to members resulting in less out-of-pocket for "add ons".

How to Use This Benefit

• Use any CSEA Employee Benefit Fund participating vision provider. For a list of providers, please visit our website at www.cseaebf.com
• Members who choose lenses and/or coatings not covered in their existing EBF vision plans will pay the fixed co-pay in the schedule listed above.

Limitations And Exclusions

• Member must be covered by EBF under existing vision program to be eligible for fixed co-pay(s).
• This discount is available only at the time of your regular CSEA EBF service. It is not available as a separate service outside of your eligibility date.