Optical Benefits
Vision Care Expense benefits will cover 100% of covered expenses you have during the calendar year up to a maximum of $250 for members and $150 for dependents. Benefits include:
*One set of lenses for glasses and /or set of frames for a calendar year or a six-month supply of contact lenses
*Verification of fitting
*Ophthalmic materials required for fitting and later evaluation of eyeglasses
*History, evaluation and examinations once per calendar year
In order to use the optical benefit you must obtain an Optical Benefit Voucher from Cook Associates by calling (212) 505-5050 ext. 255. The Fund Administrator will verify eligibility for the benefit and issue a colored voucher with the members name on it. Yellow vouchers are to be used at Vision World and green vouchers are to be used by GVS.
The Optical Benefits Form below is for members who elect to go to providers other than GVS or Vision World.
Completed forms can be mailed to Cook Associates or emailed to: [email protected] or faxed to
1(646)381-8853
Claims submitted more than 90 days after the completion of the vision services will be denied.
*One set of lenses for glasses and /or set of frames for a calendar year or a six-month supply of contact lenses
*Verification of fitting
*Ophthalmic materials required for fitting and later evaluation of eyeglasses
*History, evaluation and examinations once per calendar year
In order to use the optical benefit you must obtain an Optical Benefit Voucher from Cook Associates by calling (212) 505-5050 ext. 255. The Fund Administrator will verify eligibility for the benefit and issue a colored voucher with the members name on it. Yellow vouchers are to be used at Vision World and green vouchers are to be used by GVS.
The Optical Benefits Form below is for members who elect to go to providers other than GVS or Vision World.
Completed forms can be mailed to Cook Associates or emailed to: [email protected] or faxed to
1(646)381-8853
Claims submitted more than 90 days after the completion of the vision services will be denied.