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Raymond OpticiansVisit their web site for for various locations throughout Westchester, Putnam & Dutchess Counties
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Members have the choice of continuing to use Davis Vision OR Raymond Opticians. You may utilize the services of only ONE of these providers in a plan year (July1 - June 30).
Who Is Covered?
Under the MTABF Optical Benefit you can receive the following on a yearly basis:
Limitations & Exclusions to this benefit:
c/o Preferred Group Plans
P.O. Box 15136
Albany, NY 12212-5136
Who Is Covered?
- Enrolled members are covered for the Optical Benefit Plan.
- Enrolled members may assign their benefits over to another family member by filling out the Vision Benefit Assignment Form. This form must be brought with you to your vision provider.
Under the MTABF Optical Benefit you can receive the following on a yearly basis:
- Eye examination
- Glasses OR contacts
- Raymond offers a free spare pair of eyeglasses or prescription sunglasses. Raymond will allow you to transfer this benefit to a family member. (In order to transfer this benefit you must bring in the family members current prescription.) See a Raymond Optician for details.
- Additional $100.00 OPTICAL REIMBURSEMENT:
Limitations & Exclusions to this benefit:
- Charges in excess of the above allowances are the responsibility of the member.
- Non-prescription sunglasses are NOT covered.
- Services provided by a member of your or your spouse's immediate family are NOT covered.
- Fill out a Claim Form.
- Return the completed claim form to the address below together with an original, dated receipt marked "paid" describing the type of service rendered, the date service was rendered, the amount charged and name of the person who received the optical service.
- If a member uses a participating provider and selects frames and lenses outside of those offered by the Davis Plan, a claim form may be submitted to Preferred Group Plans to defray up to $100 of additional costs.
- Completed claim forms should be mailed to:
c/o Preferred Group Plans
P.O. Box 15136
Albany, NY 12212-5136
If you choose DAVIS:1) Fill out & send Vision Enrollment Form to:
The MTA Benefit Fund c/o Preferred Group Plans P.O. Box 15136 Albany, NY 12212-5136 (This form needs to be filled out one time only.) 2) Enrolled members may assign their benefits over to another family member by filling out the Vision Benefit Assignment Form. This form must be brought with you to your vision provider. 3) Under the no-cost option, you simply contact Davis Optical directly at 1-800-999-5431 or at the Davis Web Site. (When using the Davis Web Site your member number is your social security number.) Davis will provide a list of participating provider locations and optical voucher. Please contact Davis Optical directly. |
If you choose Raymond:1) Fill out & send Vision Enrollment Form to:
The MTA Benefit Fund c/o Preferred Group Plans P.O. Box 15136 Albany, NY 12212-5136 (This form needs to be filled out one time only.) 2) Enrolled members may assign their benefits over to another family member by filling out the Vision Benefit Assignment Form. This form must be brought with you to your vision provider. 3) Under the no-cost option, you simply contact your local Raymond Office (visit the Raymond Web Site for for various locations throughout Westchester, Putnam & Dutchess Counties). Raymond will provide you with an appointment. Please contact Raymond Opticians directly. |