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Prescription Drugs and Vision Benefit Upgrades, July 1

The PSC-CUNY Welfare Fund Trustees are pleased to be able to institute another round of significant enhancements to your in-network benefits which will be effective July 1, 2021. Here are descriptions of the new improvements to the PSC-CUNY Welfare Fund Benefits Program:

$0 Generic Copay Program Enhancement

Beginning July 1, 2021, Active members and Retirees under 65 enrolled in the PSC-CUNY Welfare Fund Prescription Plan, as well as Retirees enrolled in the SilverScript Medicare Part D Prescription Plan will have no copay when filling prescriptions for generic medications covered by the Welfare Fund CVS or SilverScript formulary as long as the prescription is filled at a CVS pharmacy or through the CVS Mail program. Generic drugs purchased at a pharmacy other than CVS are not included in the program, will not have a reduced copay, and the claims will be processed according to the Welfare Fund Prescription Plan’s current tiered copay schedule. This means most members using non-CVS pharmacies will continue to pay a 20% copay.

Vision Benefit Frequency Change

Beginning July 1, 2021, the eligibility period of the benefit in the Davis Vision network will be changed from every 12 months to the calendar year. All plan participants and their eligible dependents will be entitled to a pair of glasses (lenses and frames, or contact lenses, and an optometric examination) once per year, to be purchased at any time during the calendar year. This annual benefit is available through the Davis Vision vendor network contracted by the Fund, which includes all licensed optometrists that participate with Davis Vision. Service through the Davis network requires no out-of-pocket costs for a broad selection of Davis-branded frames, lenses and contact lenses, and includes coverage for progressive lenses, transition lenses and other enhancements.

  • The eligibility period of the out-of-network benefit is also changed to calendar year.
  • If you are not yet eligible for your next vision benefit (in or out-of-network) you will be eligible by July 1 at the latest.
  • If you have already used the benefit during 2021 you will be eligible again on Jan. 1, 2022.
  • Eyeglasses or contacts must be purchased at the time of the eye examination. Split service is not covered.

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