Does Special Coordination of Benefits (SCOB) apply to the Optical Plan? Yes. Members and their spouse/ domestic partner who are also members are entitled to SCOB.

Under direct reimbursement, which can only be used if you utilize a non-participating provider, you are required to pay for the full cost of the service at the optician and submit to the Fund for payment.

Information on your eligibility for benefits will be available not only to you and your eligible dependents, but also to optical service providers, making it easier to schedule appointments and use your benefits for covered services.

Every two years, you are entitled to an optical benefit. This includes an eye exam and either a pair of eyeglasses or a benefit for contact lenses. After confirming eligibility for benefits, contact one of the 1,500+ participating providers for an...

All eligible members and dependents, as defined in the General Information section, are covered for optical benefits.

Members and their spouse or domestic partner who are also members are entitled to Special Coordination of Benefits (SCOB) when the Scheduled Benefit Plan covers both.

If you elect to receive dental coverage through the Dentcare HMO, the Welfare Fund's Scheduled Benefit Plan is not applicable. Dentcare would provide all covered services.

This plan provides benefits for covered services under a reimbursement schedule, called the “Schedule of Covered Dental Expenses" which lists most covered services and the maximum reimbursement amounts.