PFT Retirees — National Vision Administrators Vision Program
(N.V.A. VISION PROGRAM)
(N.V.A. VISION PROGRAM)
Your basics are billed to you by the Fund. You pay optometrist or ophthalmologist for the extras. These maximum charges are listed on the form and checked by N.V.A. All basic charges are billed to you directly from the PFT Health & Welfare Fund. Basic charges include the examination, regular-sized lenses, administration fee, and regular-sized frames (up to $24.00 wholesale price) You pay the doctor directly for extras (prices listed and signed for by you when you order your glasses) when you pick up the glasses. FAILURE TO PAY THE PFT H&W FUND BILL WITHIN 30 DAYS COULD RESULT IN THE RETIREE LOSING THE PRESCRIPTION BENEFIT.