Submitting Vision and Hearing Claims to the Fund Office

January 11, 2016

When submitting a vision or hearing claim to the Fund Office, there are certain rules you need to follow in order to have your claim reimbursed properly. As you will see below, how you file your claim depends upon whether you are submitting a vision or hearing claim, and whether you utilized a network or non-network Provider. To receive a quick and accurate reimbursement, please follow these directions. Also, when submitting paperwork, always remember to include your UBC number.

VISION

HOW TO FILE A CLAIM

Network Provider. All you have to do is provide your name and Social Security Number to the network Provider. The Provider will submit the claim form to the Fund Office for payment. If you receive any of the services described under “Costs” in your SPD, you will also be required to pay your share of the cost.

Non-network Provider. When you use a Provider who is not in the CPS or GVS network, you must pay the full fee and submit a claim to the Fund Office for reimbursement. The Fund will pay only the amount it would have paid had you gone to a Participating Provider (up to $125 for an exam and a pair of frames and lenses).

HEARING

HOW TO FILE A CLAIM

Network Provider. All you have to do is provide your name and Social Security number to the Network Provider. The Provider will submit the claim form to the Fund Office for payment.

Non-Network Provider. When you use a Provider that is not in the CPS or GVS networks, you must pay the full fee and submit an itemized receipt to the Fund Office for reimbursement. Be sure to keep a copy of the itemized receipt for your own records.

If you have any further questions, please contact our Member Services Department at (800) 529-FUND (3863).