The UAW-Ford Vision Care Program provides members with comprehensive vision care services. If you are enrolled in the Traditional Plan for health care coverage, a PPO or HMO plan that does not provide vision care coverage, 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-Ford Vision Plan Cover?
Eye Exam
Full Coverage
$45.00
0
12 Months
Re-examination (by an Ophthalmologist)
$45.00
$45.00
0
12 months when medically necessary*
Lenses (Glass or Plastic):
12 months
Single Vision
Full Coverage
$59.00
$13.00
Bifocal
Full Coverage
$79.00
$13.00
Trifocal
Full Coverage
$99.00
$13.00
Special (lenticular, aspheric, etc.)
Full Coverage
$99.00
$13.00
Lens Options:
Tints equal to Rose 1 or 2
Full coverage
0
0
Scratch Resistant coating for age 13 and under
Full coverage
0
0
Oversized lenses
Full coverage
0
0
Frames
12 months
Standard Frames
Full Coverage
$49.00
$13.00
Designer Frames
$40.00
$49.00
$13.00
Contact Lenses (instead of eyeglasses)
12 months
Not medically necessary
$75.00
$89.00
$37.00
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
Corrective Eye Surgery (by an ophthalmologist): * Corrective eye surgery means a surgical procedure used to alter the
cornea or shape/surface of the eye in order to improve visual acuity, correct vision conditions such as myopia,
hyperopia or astigmatism and reduce or eliminate the reliance on eyewear. Such surgeries can include, but are not
necessarily limited to, Laser-assisted In-Situ Keratomileusis (LASIK), PhotoRefracive Keratectomy (PRK) and Radial
Keratotomy (RK).
NA
$350.00
$350.00
4 years
* Refer to your benefit brochure for complete details, special circumstances, and program exclusions