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  1. As a member of the UFT Welfare Fund, you and your covered dependents are entitled to an eye exam plus eyeglasses or contact lenses once every two years. As of Feb. 1, 2021, you no longer need to request an optical certificate to obtain benefits.

  2. For forms needing Fund validation such as optical and hearing aid, members should call the Forms Hotline at 212-539-0539. UFT Chapter Leaders have panelist listings, dental forms and other Welfare Fund literature. Current panel listings and some forms are also available online.

  3. UFT OUT-OF-NETWORK OPTICAL CLAIM FORM. Complete and return to GVS with paid, itemized receipt and a copy of the prescription. Part 1: Patient Information. UFT Members Name: Enter one of the following: UFT Member ID, Welfare Fund Alternate ID or last 5 of SSN: Street Address: City & State: Zip Code: Telephone: (Home) (Work) Member Email Address:

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  4. As A member of the Uft WelfAre fUnd, you and your eligible dependents can obtain optical services once every two years. This entitles you to one pair of eyeglasses and an accompanying eye exam, or to contact lenses. Prescription sunglasses are also covered. CHECK YOUR ELIGIBILITY You can check your eligibility at www.gvsuft.com. You will

  5. Optical professionals. Effective March 1st 2022, Your UFT Welfare Fund optical benefit has increased. The increase applies both to in network services and out of network claims for direct reimbursement. For details, please see “How to Access Benefits”.

  6. UFT OUT-OF-NETWORK OPTICAL CLAIM FORM Complete and return this claim form to GVS. An itemized paid receipt and a copy of the eye exam prescription must accompany the claim form. To receive coverage for both the eye exam and glasses, you are required to obtain both services at the same location. Part 1: Patient Information

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  8. 1. You must obtain an Optical Benefit Certificate by request-ing it from the Fund Office or by calling the Forms Hotline at 212-539-0539. This form is also available from our website at www.uftwf.org. This request must indicate whom the service(s) are for, so that the Fund may verify eligibility prior to issuing the certificate(s). 2.

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