Con Edison: Retirees - benefits management

benefits management

Important News About Vision Care Services in New York, New Jersey, and Connecticut

The Con Edison Retiree Health Plan provides vision care benefits for you and your eligible dependents.

The company has arranged with participating providers in New York State – listed on the following pages – to supply vision care services at no cost to you. However, services are provided at no cost only if you receive all services – an eye examination, lenses and frames – from the same provider.

Some branches of the plan’s participating providers are located in New Jersey and Connecticut. If you use one of these branches, state laws require you to go to a separate facility for your eye examination. In such cases, the plan will reimburse you for your examination according to the schedule of benefits on page 34 of your Retiree Health Program booklet.

Here is an outline of services available through participating providers:

A comprehensive eye examination, including testing for glaucoma.

A lens or lenses*, including:
- single-vision bifocals, trifocals, or lenticular lenses;
- glass or plastic lenses; and
- tinting of lenses.
A frame* from a selection of discounted frames, which may vary from location to location.
*A $70 credit will be applied toward the regular retail price of selected lenses and frames at participating providers.

Contact lenses

You will be responsible for paying 70% of the difference between the retail price and the $70 credit. For example, if the regular retail price is $250, you will have to pay $126 toward the cost of your contact lenses.

$250 – $70 = $180; 70% of $180 = $126.

Optional Services

Additional services are available to you through participating providers at the costs indicated below:

Photosensitive single-vision lenses - $7.50.
Photosensitive bifocal lenses - $15.
Invisible bifocal lenses - $25.
Second pair of glasses - 30% discount from regular retail price.

Claim form procedure

When you go to a participating provider, all you have to do is show your Con Edison Retiree Health Plan identification card, and complete and sign a Retiree Health Plan claim form. The provider will send the form to United Healthcare, and United will reimburse the provider directly. If you do not go to a participating provider or you receive an eye examination from an independent doctor, you will have to pay the provider and submit a completed Retiree Health Plan claim form to United. United will reimburse you according to the plan’s schedule of benefits.

Questions?

If you have any questions, please write the Con Edison Employee Benefits Department, Attention: Retiree Health Plan Vision Care, Room 1100, 4 Irving Place, M020, New York, NY 10003, or call 1-800-582-5056.

Vision care providers

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