PFT Retirees — National Vision Administrators Vision Program
(N.V.A. VISION PROGRAM)
(N.V.A. VISION PROGRAM)
Lens options purchased from a participating NVA provider will be provided to the member at the amounts listed in the fixed option pricing list below:
For lens options & services purchased from a participating NVA provider, NVA members will only pay the fixed maximum amount or the provider’s wholesale cost, whichever is less. Options not listed will be priced by NVA providers at their wholesale cost. Fixed prices are available in-network only. In certain states, members may be required to pay the full retail amount and not the negotiated discount amount at certain participating providers. Some optometrist affiliated with Optical Retail locations (i.e., Visionworks, etc.) are independent providers and may not participate in the NVA program.
Participating providers are not contractually obligated to offer sale prices in addition to outlined coverage. Regardless of medical or optical necessity, vision benefits are not available more frequently than specified in your policy.
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.