Pittsburgh Technology Council
August 28, 2008
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Vision Benefits of America

Overview

Together the Council's Employee Benefits Groups and Visions Benefits of America (VBA) have tailored a vision program designed to meet your employees' needs. Our program offers affordable and comprehensive vision benefits coverage. Members save significantly when services are accessed through the VBA provider network.

The VBA provider network offers members with access to more than 12,000 participating Optometrists, Ophthalmologists and major retail locations nationwide. Employers can choose from the $0 deductible program or the $20 deductible program.

Benefits at a Glance
Frequency Of Service
Coverage Employee Spouse Children1
Vision Exam 24 Months 24 Months 12 Months
Lenses 24 Months 24 Months 12 Months
Frames 24 Months 24 Months 24 Months

$0 Deductible Program
Summary of Coverage
Benefits VBA Network Provider Non-Network Provider
Vision Exam: 100% $30
Frames 100%2 $40
Lenses
Clear Lenses (Pair)
Single 100% $30
Bifocal 100% $40
Trifocal 100% $60
Lenticular 100% $80
Contact Lenses (includes vision exam allowance)
Elective(in lieu of glasses) $100 $100
Medically Required UCR3 $250

1Full time college students up to age of 25 years.

2Within the Programs $35 wholesale allowance.

3Usual, Customary and Reasonable as determined by VBA.

The benefit summary outlines the principal features of the program. It should not be considered the contract of benefits and provisions. Please refer to your member handbook for a complete description of benefits or contact us for a further explanation.

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$20 Deductible Program
Coverage Details
Benefits VBA Participating Doctor
Amount Covered		 Non-Participating Doctor
Amount Reimbursed
  (Less Deductible*) (No Deductible)
Vision Exam 100% $30
Frames 100%2 $40
Lenses
Clear Lenses (Pair)
Single 100% $30
Bifocal 100% $40
Trifocal 100% $60
Lenticular 100% $80
Contact Lenses (includes vision exam allowance)
Elective (in lieu of glasses) $90 $100
Medically Required UCR3 $250

*A $20 deductible applies to the total cost of the lenses and/or frames ordered from a VBA Member Doctor only, but does not apply to the exam or contacts.

1Full time college students up to age of 25 years.

2Within the Programs $35 wholesale allowance.

3Usual, Customary and Reasonable as determined by VBA.

The benefit summary outlines the principal features of the program. It should not be considered the contract of benefits and provisions. Please refer to your member handbook for a complete description of benefits or contact us for a further explanation.

Provider Network

To locate a participating provider, please click on the link below.



If you have any further questions, please contact us; we'll be glad to help you.

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This information is not intended for use without professional advice. While we have attempted to make this site as accurate as possible, it is only a summary. For more information, see our disclaimer.


Last updated on:  Monday, October 29, 2007  Page: 

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