Retiree Vision Plan

Davis Vision Discount Plan

Healthy eyes and clear vision are an important part of your overall health and quality of life. The Davis Vision discount plan helps you care for your eyes while saving you money. The plan is available to active, dues-paying members of the PEF Retirees and their families. This plan is not included in the PEF Retiree dues payment. The plan must be purchased annually in order to take advantage of the discounts on a yearly basis.

2024-2025 Vision Plan Features

• More than 93,000 points of access across the U.S. Nearly 9,000 locations across the U.S. offering the Exclusive Collection of frames.
• A comprehensive eye exam, covered in full, during the 12 month time frame beginning November 1, 2024 through October 31, 2025.
• The purchase of spectacle lenses (standard single-vision, bifocal, trifocal, or lenticular) and standard/premium progressive lenses, are covered in full every 12 months.
• The purchase of frames from the Exclusive Collection (Fashion, Designer, or Premier) covered in full every 12 months.
• The purchase of contacts from the Exclusive Collection, in lieu of eyeglasses, covered in full every 12 months.
• $130 retail allowance toward any frame or contact lenses from a provider (not in the Exclusive Collection) plus an additional 20% off any balance due on frames or an additional 15% off any balance on contacts.
• Free breakage warranty—glasses are covered with the free, one-year breakage warranty. (Some limitations apply.)
• An out-of-network reimbursement is available and information is provided below.

To find an eye care professional, visit Davis Vision. On the home page, click on Eye Care Professionals located at the top of the page. Then click, Find an Eye Care Professional via the button located under the page headline. Follow the directions to find a provider near your location. You do not need to be logged in to find a provider. You may also call Davis Customer Service at (844) 681-4498.

Eligibility

All active, dues-paying PEF retirees are eligible to participate in this plan.

2024-2025 plan options and pricing

The vision plan year begins November 1, 2024, and concludes October 31, 2025, regardless of when you purchase the plan during this time frame. There is a one-time cost regardless of when you purchase the plan. You do not receive a pro-rated plan price if you purchase any point after November 1, 2024. You must take advantage of the product and service offerings included with this plan by October 31, 2025. If you do not take advantage of the plan discounts for the eye exam and eyewear by October 31, 2025, no refund is issued. In addition, your plan purchase does not carry over to the next plan year (i.e., November 1, 2025 through October 31, 2026).

If you purchase the plan for the plan period of November 1, 2024, through October 31, 2025, you will receive a renewal letter from PEF Retirees prior to the plan’s expiration date. You may repurchase the plan for the following discount plan year, November 1, 2025 through October 31, 2026—if you are interested in doing so. Continual coverage is not required and repurchase is optional. The plan does not auto renew. It is not an insurance plan.

There are three plan options available to you:

• Retiree: $226.56
• Retiree Plus One: $388.44
• Retiree Plus Family: $591.00

Dependent coverage:

You may elect to purchase a plan option that includes a spouse/domestic partner^* and/or children. (i.e., the Retiree Plus One or Retiree Plus Family Plan). Dependent children are covered up to the end of the month in which they turn 19, unless a full-time student in which case dependents are covered up to the end of the month in which they turn 25. Disabled dependent children are eligible for coverage under the Plus One or Plus Family Plan as well. There is no age limit for disabled dependent children under the Davis Vision Discount Plan. You cannot add a spouse/spouse or dependent after you make your initial purchase, so be sure to select the most appropriate plan up front.

Out-of-network reimbursement benefits

You may receive services from an out-of-network provider, although you will receive the greatest value and maximize your benefit dollars if you select a provider who participates in the network. If you choose an out-of-network provider, you must pay the provider directly for all changes and then submit a claim for reimbursement to: Vision Care Processing, P.O. Box 1525, Latham, NY 12110.

Out of network costs:

• Eye Examination: $40
• Trifocal Lenses: $80
• Frame: $50
• Lenticular Lenses: $100
• Single-Vision Lenses: $40
• Elective Contact Lenses: $105
• Bifocal/Progressive Lenses: $60
• Visually Required Contacts: $225

How to Purchase & Confirm the Plan

There are three (3) ways to purchase the vision discount plan:

1. Use the Buy Now button below to select your plan option and make your purchase via a debit/credit card (Visa, MasterCard, or Discover).
2. Call PEF MBP at (800) 767-1840, opt. 4, or (518) 785-1900, ext. 243, and a PEF MBP representative will take your order over the phone. Your order must be paid for by a debit/credit card.
3. Mail a check payable to the PEF Membership Benefits Program for the correct amount of your plan choice and mail to:

You cannot pay for the vision discount plan via pension deduction. This is a single payment plan. There are no monthly payment options.

To buy your vision plan, select the appropriate button below:

Once you place your order, you will receive a Purchase Confirmation Letter from PEF MBP that includes instructions for confirming/validating your plan directly through Davis Vision. You must confirm/validate the plan before you use it.

To confirm/validate your plan directly through Davis Vision:

• Three (3) business days after you purchase the plan, call Davis Vision at (844) 681-4498
• Select Option 1-“Currently Enrolled,” and press 0 (zero) to speak with a customer service representative
• Provide the Davis Vision customer service representative with your:
  • Name
  • Membership Identification Number (MIN)
  • Affiliation with the NYS PEF Retiree Vision Plan
  • Your birth date (If this information is not yet on file, please request that Davis Vision update your information in their database.)
  • If you purchased the Retiree Plus One or Retiree Plus Family plan, you will also need to provide the name(s) and date(s) of birth for your spouse/domestic partner and/or each family member.

Once you have confirmed/validated your plan, you will be in the Davis Vision Network and any Davis Vision will be able to locate you in their system. You will also receive a Davis Vision Welcome Letter including the plan information, ID card(s), and a local participating provider listing.

When setting up an eye care appointment, using your plan at Davis Vision, or when calling Davis Vision directly:

• Provide your PEF Membership Identification Number (MIN) located on your PEF Retiree ID Card, your date of birth, and mention your affiliation with the NYS PEF Retiree Vision Plan.

Not yet a PEF Retiree Member?

• First year membership is FREE. Year two and thereafter, membership dues are only $36 annually via automatic pension deduction.
• Enrollment forms must be received and processed by the PEF Retirees prior to you purchasing the Davis Vision plan. Once your enrollment/renewal form and payment has been processed, you will receive a PEF Retiree Membership Identification card.

Call the PEF Retirees at (800) 342-4306, ext. 288, to request that an enrollment or renewal form be mailed to you.

For questions regarding this benefit, contact Davis Vision Customer Service at: (844) 681-4498 and mention your affiliation with NYS PEF Retiree Vision Plan, or visit them directly online.