The UAW Retiree Medical Benefits Trust program provides members with comprehensive vision care services.
Single Vision Solution, Inc. administers your vision care program.
A network panel consisting of SVS Vision Optical Centers and other affiliated providers fulfill the eye exam and eyewear services.
To receive the largest benefit, members living within 25 miles of a network provider can schedule an appointment
and select their eyewear at any SVS Vision Optical Center or affiliated provider location.
If you live more than 25 miles from an affiliated provider or choose to receive vision care services from a
non-Network provider you will receive reimbursement for benefits, according to your plan schedule, by submitting
an application for benefits form.
What Does my UAW Retiree Medical Benefit Trust Plan Cover?
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Services
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Network Provider
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Non-Network Provider (Live over 25 miles from Network Provider) Reimbursement
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Non-Network Provider (Live within 25 miles of Network Provider) Reimbursement
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Frequency of Coverage*
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Eye Exam
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Full Coverage
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$45.00
|
0
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12 months
|
|
Re-examination (by an Ophthalmologist)
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$45.00
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$45.00
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0
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12 months when medically necessary*
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|
Lenses (Glass or Plastic):
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|
|
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24 months
|
|
Single Vision
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Full Coverage
|
$59.00
|
$13.00
|
|
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Bifocal
|
Full Coverage
|
$79.00
|
$13.00
|
|
|
Trifocal
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Full Coverage
|
$99.00
|
$13.00
|
|
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Special (lenticular, aspheric, etc.)
|
Full Coverage
|
$99.00
|
$13.00
|
|
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Lens Options:
|
|
|
|
|
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Tints equal to Rose 1 or 2
|
Full coverage
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0
|
0
|
|
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Scratch Resistant coating for age 13 and under
|
Full coverage
|
0
|
0
|
|
|
Oversized lenses
|
Full Coverage
|
0
|
0
|
|
|
Frames
|
|
|
|
24 months
|
|
Standard Frames
|
Full Coverage
|
$49.00
|
$13.00
|
|
|
Designer Frames
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$40.00
|
$49.00
|
$13.00
|
|
|
Contact Lenses (instead of eyeglasses)
|
|
|
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24 months
|
|
Not medically necessary
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$75.00
|
$89.00
|
$37.00
|
|
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Professional fees (fitting/follow-up)
|
$40.00
|
Included above
|
Included above
|
|
|
Medically necessary to achieve 20/70 in better eye or for keratoconus, irregular astigmatism or irregular corneal curvature as diagnosed by M.D. or O.D. including professional fees and contact lenses
|
Up to $350.00
|
$200.00
|
$52.50
|
|
* Refer to your benefit brochure for complete details, special circumstances and program exclusions
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