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VISION CARE BENEFIT

Level 3 Only

This is for routine eye care only. If you have a medical problem, use the BlueCard PPO doctor network.

New Jersey Carpenters Funds administers the vision care benefit thru SPECTERA, a nationwide vision care company.

If you or your eligible dependents need to use the vision benefit, you must contact the Fund Office PRIOR to making an appoinment. We will verify eligibility and send the appropriate paperwork necessary for you to make an appointment including a SPECTERA provider directory. You cannot search for vision providers on the BCBS website or on the NJCF website.

The vision care benefit entitles each member and eligible dependent to one comprehensive eye examination, one pair of lenses and one pair of selected frames OR contact lenses per benefit year (once every 12 months between 4/1 - 3/31). There are limitations on frames and contact lenses. For details please contact the Fund Office.

If you use a participating SPECTERA provider, with the exception of specific limitations on frames, your comprehensive exam, lenses and frames will be covered in full. Any additional upgrades such as, but not limited to, photochromatic lenses, blended, tinted or scratch guarded lenses or upgraded frames, will be the responsibility of the member. Polycarbonate (safety lenses) are covered under SPECTERA providers only.

If you choose to go out of network (non-participating provider) the following reimbursement rates will apply. The annual maximum allowance for an out-of network exam with lenses and frames or an exam with contact lenses will be $150.00.

Professional Services Maximum Allowances
VISION EXAMINATION $ 50.00
MATERIALS
LENSES (every 12 months) $ 50.00
FRAMES (every 12 months) $ 50.00
CONTACT LENSES (Exam, Fitting & Lenses) $150.00

CAUTION: If a SPECTERA provider informs you that you need additional eye tests, which are not covered under the SPECTERA plan, please call the Fund Office.

Reimbursement for LASIK eye surgery for ACTIVE MEMBERS AND SPOUSE ONLY (dependent children, retired members, and COBRA participants are not eligible), up to a maximum of $850.00 per eye per lifetime.

If you have any questions regarding the Vision Benefit, contact the Fund Office.