Disclaimer: Your eligibility for your benefits is determined by your collective bargaining agreement. Eligibility is determined for all services. If you have any questions as to the appropriate application that you should submit, please contact the Fund office.

Vision Care Benefits
If a Covered Person incurs expenses for vision care services at a vision care facility designated by the Board of Trustees, the following benefits will be provided at no charge (subject to any maximum described below) once during a 24-consecutive-month period:

• Full examination;
• Glasses and select frames if necessary as detennined by the examination;
• Repairs and adjustments to glasses and frames; and
• Contact lenses if necessary as detennined by the examination, to a maximum reimbursement of $150 (except contact lenses for documented Keratoconus may be approved as Medically Necessary beyond the $150 limit).