Vision Care

​​Health Benefits provides coverage for eye exams and corrective eyewear to ensure clients maintain good eye health. Eye exams are important to check the eyes for common diseases and to evaluate the eyes as an indicator of overall health. Regardless of age or physical health, a comprehensive eye exam will help detect any eye problems early when they are most treatable.​

The vision care benefit is administered through a partnership between Health Benefits and PBC. Clients can access detailed information about their vision care through the online PBC Memb​er Profile.

Vision Care Benefit Coverage

Health Benefits covers specific vision care items and services under the following categories:

 Eyewear and Repairs; and

​ Tests and Exams.

Items and services not listed as a benefit may be covered on an exceptional basis. Clients should call Health Benefits at 1-855-550-5454 to learn more about exceptional coverage. 

​Most vision care providers in BC are registered with PBC and can directly bill for items and services. Clients who see a provider not registered with PBC will need to pay out-of-pocket and submit a reimbursement request to PBC after their appointment. Note that reimbursement requests may be denied and are still subject to coverage criteria and maximums.
 
Clients are strongly encouraged to discuss billing with their provider before booking an appointment or purchasing items. Questions clients should ask their provider:

 Is the provider registered with PBC for billing?
​ Is the item or service fully covered by my plan?

Vision Care Exclusions

Some vision care items and services are considered Exclusions under the vision care benefit. Clients cannot seek exception or appeal for Excluded items. Vision care benefit exclusions include, but are not limited to:

 Items that support the use of prescription eyewear (e.g., contact lens solution, glasses cases);

 Industrial safety frames or lenses;

 Non-prescription items;

 Surgical procedures (e.g., laser eye surgery); and

​ Vision training.

Authorized Providers

Vision care services must be provided by a licensed vision care professional such as an ophthalmologist, optometrist, or optician.

Appeals

When coverage for a service has been denied, clients have the right to appeal the decision. Items and services that are Exclusions cannot be appealed. See the Appeals page for more information about the appeals process.

Providers

Information and forms for vision care providers can be found on the Information for Health Providers​ page.

Fact Sheet​

For information on how to access vision care benefits check out the Vision Care Benefit Fact Sheet.

 Do you have questions?

Contact us at 

HealthBenefits@fnha.ca 

or call

1-855-550-5454 (Toll Free)​

How was your experience?

We want to hear from you about your experience with FNHA Health Benefits. Please take 5-10 minutes to fill out our survey here:

Feedback 

This client satisfaction survey will help us understand BC First Nations experiences accessing FNHA Health Benefits. We will use this information to improve the quality of our services.

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